Doctor Name: | WILLIAM G POKORNY |
NPI Number: | 1558407957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LC0285 |
Business Practice Address: | 23704 Ocean Gtwy Mardela Springs, MD - 218372101 |
Business Phone Number: | 4106770202 |
Business Fax Number: | |
Mailing Address: | 6 Delaware Ave, DELMAR |
State: | DE |
Postal Code: | 199401109 |
Phone Number: | 4108969057 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC0285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |