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Contact Information

KING I WILLIAM
15640 N 7TH ST STE A1
PHOENIX, AZ85022-3520
 Phone: 602-675-0864
 Fax: 602-675-1839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for KING I WILLIAM · (Male)

NPI Number 1104695683
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2023
Last updated 12/26/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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