William Michael Brock in San Diego - Psychologist
William Michael Brock - NPI 1548361744
William Michael Brock is a Psychologist in San Diego, California. William Michael Brock practices all healthcare services and medical treatments related to Psychologist. The NPI Number for William Michael Brock is 1548361744. The last update date is 2007-08-22.
William Michael Brock's current location address is 3401 Adams Ave, San Diego, California. You can contact this provider via phone number 6196652125 and fax number 6195288350. The mailing address for William Michael Brock is 3401 Adams Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Michael Brock |
|---|---|
| Address | 3401 Adams Ave, San Diego, California |
| Phone Number | 6196652125 |
| Fax Number | 6195288350 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1548361744 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 3401 Adams Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921162490 |
| Phone Number | 6196652125 |
| Fax Number | 6195288350 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY8466 |
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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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY084660 | CA | -- | |
| CP8466 | CA | -- |
Post Comment/ Review Below
What is the William Michael Brock's unique identification number?
The William Michael Brock has been assigned the NPI (National Provider Identifier) Number 1548361744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the William Michael Brock's physical address?
The William Michael Brock is physically located at 3401 Adams Ave, in the city of San Diego, CA, with the postal code 921162490.
What is the William Michael Brock's specialty and taxonomy code?
The William Michael Brock's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548361744 to William Michael Brock?
The Centers for Medicare & Medicaid Services assigned the 1548361744 to William Michael Brock on 2006-09-26.
As of what date were the details related to William Michael Brock most recently updated or revised?
The information pertaining to William Michael Brock, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-22.
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