Individual
WILLIAM C. MUGRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CAS
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
(315) 422-4855
Mailing address
7356 EASTGATE CIR, LIVERPOOL, NY 13090-3133
(315) 247-9198
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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