Provider Demographics
NPI:1083621551
Name:DAY, WILLIAM SEVERE JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:SEVERE
Last Name:DAY
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 E LEE ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186
Mailing Address - Country:US
Mailing Address - Phone:540-347-0613
Mailing Address - Fax:540-347-0768
Practice Address - Street 1:54 E LEE ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186
Practice Address - Country:US
Practice Address - Phone:540-347-0613
Practice Address - Fax:540-347-0768
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002491103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
07260010OtherCARE FIRST
113276OtherANTHEM HEALTHKEEPERS
VA88134OtherQUALITY CHOICE
52068OtherMAMSI