Individual
WILLIAM L RETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11024 N 28TH DR #290, PHOENIX, AZ 85029-4373
(602) 870-7710
(602) 734-0692
Mailing address
11024 N 28TH DR #290, PHOENIX, AZ 85029-4373
(602) 870-7710
(602) 734-0692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
354
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0130920
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/24/2006
Last updated
11/07/2007
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