Individual
DR. WILLIAM LOUIS BRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
301 STEEPLE CHASE DR, SUITE 104, PRINCE FREDERICK, MD 20678-4049
(410) 570-1163
Mailing address
PO BOX 1295, HUNTINGTOWN, MD 20639-1295
(410) 570-1163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04405
MD
103TC0700X
Clinical Psychologist
2608
NC
103TH0100X
Health Service Psychologist
04405
MD
Other
Enumeration date
11/04/2005
Last updated
01/23/2008
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