Provider Demographics
NPI:1073035754
Name:FISHBEIN, WILLIAM FRANKLIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANKLIN
Last Name:FISHBEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31830 CARNEROS AVE
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-2520
Mailing Address - Country:US
Mailing Address - Phone:302-313-5965
Mailing Address - Fax:
Practice Address - Street 1:20684 JOHN J WILLIAMS HWY STE 4
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4393
Practice Address - Country:US
Practice Address - Phone:302-827-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0001095103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE81-0001095OtherPSYCHOLOGIST PROFESSIONAL LICENSE