Individual
DR. WILLIAM CARL HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2639 MIAMI ST, 2 WEST, SAINT LOUIS, MO 63118-3929
(314) 558-1112
Mailing address
1892 WILLOW OAK DR, SAINT CHARLES, MO 63303-4162
(434) 509-5755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2013040111
MO
Other
Enumeration date
03/31/2020
Last updated
08/18/2020
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