William Michael Brock PH.D.

NPI 1548361744 - Psychologist - 103T00000X

NPI Details
NPI 1548361744
Gender Male
Enumeration Date 09/26/2006
Last Updated 08/22/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3435 CAMINO DEL RIO S
SUITE 205
SAN DIEGO CA, 92108-3902, US
Phone (619) 665-2125
Fax (619) 528-8350
Business Location
3401 ADAMS AVE
A174
SAN DIEGO CA, 92116-2490, US
Phone (619) 665-2125
Fax (619) 528-8350
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY8466
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According to our database, Dr. William Michael Brock PH.D. NPI is 1548361744, taxonomy code is 103T00000X and license number is PSY8466, license state is located at California. William Michael Brock PH.D. physically located at 3435 Camino Del Rio S, San Diego CA, 92108-3902. NPI Number William Michael Brock PH.D. has the Individual type.

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1548361744 NPI number is provided on an as is basis without warranty of any kind. 1548361744 is maintained by the National Plan & Provider Enumeration System. The contents of William Michael Brock PH.D. are for informational purposes only.