# WILLIAM C IRVING PHD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265603716
- **Authorized official:** MS. JUDY I. (OFFICE MANAGER)
- **Authorized official phone:** (586) 443-4402

## Contact information

- **Practice address:** 22811 GREATER MACK AVE, SUITE 202, SAINT CLAIR SHORES, MI 48080-2021
- **Practice address phone:** (586) 443-4402
- **Practice address fax:** (586) 443-4412
- **Mailing address:** 22811 GREATER MACK AVE, SUITE 202, SAINT CLAIR SHORES, MI 48080-2021
- **Mailing address phone:** (586) 443-4402
- **Mailing address fax:** (586) 443-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 01/26/2012