Doctor Name: | WILLIAM E FORD |
NPI Number: | 1144503616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS |
License Number: | |
Business Practice Address: | 200 Dean Buttram Sr Ave Centre, AL - 359605156 |
Business Phone Number: | 2569273601 |
Business Fax Number: | 2569274520 |
Mailing Address: | 425 5th Ave Nw, ATTALLA |
State: | AL |
Postal Code: | 359542214 |
Phone Number: | 2564927800 |
Fax Number: | 2564945536 |
NPI Enumeration Date: | 09/21/2011 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |