Doctor Name: | DR. WILLIAM P OSBORN |
NPI Number: | 1164587853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., PSYCHOLOGIST |
License Number: | 184 |
Business Practice Address: | 4824 Old Highway 11 Purvis, MS - 394753567 |
Business Phone Number: | 6012649515 |
Business Fax Number: | 6012716026 |
Mailing Address: | 4824 Old Highway 11, PURVIS |
State: | MS |
Postal Code: | 394753567 |
Phone Number: | 6012649515 |
Fax Number: | 6012716026 |
NPI Enumeration Date: | 12/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |