Provider Demographics
NPI:1144262775
Name:EYRING, WILLIAM ERHARD III (PSYD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ERHARD
Last Name:EYRING
Suffix:III
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 N COURTENAY PKWY STE 206
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953
Mailing Address - Country:US
Mailing Address - Phone:321-459-1003
Mailing Address - Fax:321-459-1006
Practice Address - Street 1:1395 N COURTENAY PKWY STE 206
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953
Practice Address - Country:US
Practice Address - Phone:321-459-1003
Practice Address - Fax:321-459-1006
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6297103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54881OtherBLUE CROSS BLUE SHIELD
FL54881ZMedicare ID - Type Unspecified