Provider Demographics
NPI:1801028329
Name:PYLE, WILLIAM LEON (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEON
Last Name:PYLE
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 1:184 CLEAR CREEK DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1977
Mailing Address - Country:US
Mailing Address - Phone:541-482-0491
Mailing Address - Fax:541-482-0491
Practice Address - Street 1:184 CLEAR CREEK DR STE 1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1977
Practice Address - Country:US
Practice Address - Phone:541-482-0491
Practice Address - Fax:541-482-0491
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1807101YM0800X
CAPSY19326103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health