Provider Demographics
NPI:1033134994
Name:VARLEY, WILLIAM HUGH (PH D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HUGH
Last Name:VARLEY
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1530 UNION RD
Mailing Address - Street 2:STE A
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2201
Mailing Address - Country:US
Mailing Address - Phone:704-861-0271
Mailing Address - Fax:704-861-0374
Practice Address - Street 1:1530 UNION RD
Practice Address - Street 2:STE A
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2201
Practice Address - Country:US
Practice Address - Phone:704-861-0271
Practice Address - Fax:704-861-0374
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0692103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1467409391OtherJOHN W. LONG, PH,D.,PC
NC1467409391OtherJOHN W. LONG, PH,D.,PC