Doctor Name: | DR. WILLIAM IRVING DORFMAN |
NPI Number: | 1043323751 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY3343 |
Business Practice Address: | 224 Commercial Blvd #303 Lauderdale By The Sea, FL - 333084443 |
Business Phone Number: | 9548174864 |
Business Fax Number: | 9542043725 |
Mailing Address: | 224 Commercial Blvd, #303 LAUDERDALE BY THE SEA |
State: | FL |
Postal Code: | 333084443 |
Phone Number: | 9548174864 |
Fax Number: | 9542043725 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY3343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |