Provider Demographics
NPI:1871656777
Name:ETNYRE, WILLIAM STRICKLER (PHD,LICS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STRICKLER
Last Name:ETNYRE
Suffix:
Gender:M
Credentials:PHD,LICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 14TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-3904
Mailing Address - Country:US
Mailing Address - Phone:206-285-7877
Mailing Address - Fax:
Practice Address - Street 1:908 14TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3904
Practice Address - Country:US
Practice Address - Phone:206-285-7877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000056251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical