Individual
DR. WILLIAM DOUGLAS FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
560 E CORONADO RD, SANTA FE, NM 87505-0347
(505) 986-9131
Mailing address
560 E CORONADO RD, SANTA FE, NM 87505-0347
(505) 986-9131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1385
CO
103TH0004X
Health Psychologist
1385
CO
103TH0100X
Health Service Psychologist
1385
CO
103TP2701X
Group Psychotherapy Psychologist
1385
CO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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