# WILLIAM S. YATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629086301
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 23587 | TX | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 23587 | TX | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 07/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009513602 | — | TX |
| 01 | — | 742534224 | TAX ID | TX |