Individual
WILLIAM STIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 532-4701
Mailing address
PO BOX 64407, BALTIMORE, MD 21264-4407
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
04077
MD
103TC0700X
Clinical Psychologist
Primary
O4077
MD
103TR0400X
Rehabilitation Psychologist
04077
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407735100
—
MD
Enumeration date
07/05/2006
Last updated
06/10/2019
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