Provider Demographics
NPI:1629317490
Name:MAYER, WILLIAM REESE (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:REESE
Last Name:MAYER
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 1:1541 ROUTE 88 W
Mailing Address - Street 2:SUITE G
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2373
Mailing Address - Country:US
Mailing Address - Phone:732-836-9770
Mailing Address - Fax:732-836-9774
Practice Address - Street 1:1541 ROUTE 88 W
Practice Address - Street 2:SUITE G
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2373
Practice Address - Country:US
Practice Address - Phone:732-836-9770
Practice Address - Fax:732-836-9774
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist