Doctor Name: | WILLIAM RICHARDSON |
NPI Number: | 1093159451 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1025 Montgomery Hwy Suite 214 Vestavia, AL - 352162845 |
Business Phone Number: | 2052331414 |
Business Fax Number: | |
Mailing Address: | 1809 Glendmere Dr, VESTAVIA |
State: | AL |
Postal Code: | 352162601 |
Phone Number: | 2052331414 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2013 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |