Individual
WILLIAM WOODROW LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3133 NORTH MILLBROOK AVE., FRESNO, CA 93703
(559) 453-8405
(559) 453-6733
Mailing address
4042 E. HAMPTON WAY, FRESNO, CA 93726
(559) 229-0659
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY15309
CA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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