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Individual
WILLIAM S. YATES
Active
Individual
WILLIAM S. YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23587
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
23587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009513602
—
TX
01
—
742534224
TAX ID
TX
Enumeration date
08/04/2006
Last updated
07/03/2012
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