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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH ENDY DSW, LCSW

MEDICARE: DR. WILLIAM JOSEPH ENDY DSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor130195-3501UT

General Provider Information

NPI Number : 1295887503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH ENDY DSW, LCSW
Provider Business Mailing Address
First Line : 3518 WASHINGTON BLVD.
Second Line :
City : OGDEN
State : UT
Zip : 84403
Country : US
Telephone Number : 801-399-1600
Fax Number : 801-399-1640
Provider Business Practice Location Address
First Line : 3518 WASHINGTON BLVD
Second Line :
City : OGDEN
State : UT
Zip : 84403-1034
Country : US
Telephone Number : 801-399-1600
Fax Number : 801-399-1640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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