MEDICARE: DR. WILLIAM HAROLD PERCY PHD, LP, LMFT

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	LP184	MN
2	106H00000X	Marriage & Family Therapist	78	MN

General Provider Information

NPI Number	:	1881643518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HAROLD PERCY PHD, LP, LMFT

Provider Business Mailing Address
First Line	:	111 E FRANKLIN AVE
Second Line	:	#319
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-2541
Country	:	US
Telephone Number	:	612-819-2311
Fax Number	:	612-870-4542

Provider Business Practice Location Address
First Line	:	1409 WILLOW ST
Second Line	:	SUITE 220
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2269
Country	:	US
Telephone Number	:	612-819-2311
Fax Number	:	612-870-4542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/11/2025

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