Individual
WILLIAM S. YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14815 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 494-1991
(210) 494-7575
Mailing address
14815 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 494-1991
(210) 494-7575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23587
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
23587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009513602
—
TX
01
—
742534224
TAX ID
TX
Enumeration date
08/04/2006
Last updated
07/03/2012
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