Doctor Name: | WILLIAM ROBERT OWEN |
NPI Number: | 1609103159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADC-II |
License Number: | RA827198 |
Business Practice Address: | 4375 E Calle De Ricardo Suite B Palm Springs, CA - 922641448 |
Business Phone Number: | 3109992873 |
Business Fax Number: | |
Mailing Address: | 4375 E Calle De Ricardo, Suite B PALM SPRINGS |
State: | CA |
Postal Code: | 922641448 |
Phone Number: | 3109992873 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2009 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RA827198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |