Individual
MR. WILLIAM FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
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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