| Doctor Name: | DR. WILLIAM JOSEPH D'AMICO |
| NPI Number: | 1043329782 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | RI 426 |
| Business Practice Address: | 634 North Falmouth Hwy North Falmouth, MA - 025569998 |
| Business Phone Number: | 5085637805 |
| Business Fax Number: | 5085637805 |
| Mailing Address: | Po Box 132, 83 Frederick Douglas Road NORTH FALMOUTH |
| State: | MA |
| Postal Code: | 025560132 |
| Phone Number: | 5085637805 |
| Fax Number: | 5085637805 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | RI 426 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |