Individual
WILLIAM FREDERICK WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5512
Mailing address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
347
LA
207RP1001X
Pulmonary Disease Physician
347
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530760
—
LA
Enumeration date
07/11/2006
Last updated
09/12/2019
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