Provider Demographics
NPI:1114315645
Name:GURNEY, WILLIAM (TLLP)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:GURNEY
Suffix:
Gender:M
Credentials:TLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22022 INDIAN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-5022
Mailing Address - Country:US
Mailing Address - Phone:248-991-2073
Mailing Address - Fax:
Practice Address - Street 1:22022 INDIAN ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-5022
Practice Address - Country:US
Practice Address - Phone:248-991-2073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist