MEDICARE: WILLIAM F DOVERSPIKE PHD PC

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
1	103T00000X	Psychologist	647	GA
2	103G00000X	Clinical Neuropsychologist	647	GA

General Provider Information

NPI Number	:	1548310246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM F DOVERSPIKE PHD PC

Provider Business Mailing Address
First Line	:	6111 PEACHTREE DUNWOODY ROAD
Second Line	:	C
City	:	ATLANTA
State	:	GA
Zip	:	30328-4522
Country	:	US
Telephone Number	:	770-913-0506
Fax Number	:	770-399-0007

Provider Business Practice Location Address
First Line	:	6111 PEACHTREE DUNWOODY ROAD
Second Line	:	C
City	:	ATLANTA
State	:	GA
Zip	:	30328-4522
Country	:	US
Telephone Number	:	770-913-0506
Fax Number	:	770-399-0007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM F DOVERSPIKE
Credential	:	PHD
Telephone Number	:	770-913-0506

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	09/11/2025

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