Individual
DR. WILLIAM STANLEY AUTREY X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 TORO ST, SAN LUIS OBISPO, CA 93401-3329
(805) 781-4190
(805) 781-4189
Mailing address
1103 TORO ST, SAN LUIS OBISPO, CA 93401-3329
(805) 781-4190
(805) 781-4189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 6216
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY6216
CA
103TF0200X
Forensic Psychologist
Primary
PSY6216
CA
Other
Enumeration date
12/12/2006
Last updated
09/11/2025
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