Individual
MR. WILLIAM FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2242 W. ESTAUGHT ST., PHILA, PA 19140
(267) 257-4844
Mailing address
2300 W CHELTENHAM AVE, PHILA, PA 19150-1813
(267) 257-4844
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
47-1834185
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073915278
—
PA
Enumeration date
09/18/2014
Last updated
10/10/2014
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