| Doctor Name: | DR. WILLIAM JOHN CHALSTROM |
| NPI Number: | 1538255658 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH D |
| License Number: | PY00001242 |
| Business Practice Address: | 2501 Mile Hill Drive Suite A 105 Port Orchard Clinical Psychology Center Port Orchard, WA - 983660776 |
| Business Phone Number: | 3608760285 |
| Business Fax Number: | 3608764685 |
| Mailing Address: | Po Box 776, PORT ORCHARD |
| State: | WA |
| Postal Code: | 983660776 |
| Phone Number: | 3608760285 |
| Fax Number: | 3608764685 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103T00000X |
| License Number: | PY00001242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |