Provider Demographics
NPI:1710020789
Name:AKINS, WILLIAM THOMPSON (PHD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:THOMPSON
Last Name:AKINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:AKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 6645
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89513-6645
Mailing Address - Country:US
Mailing Address - Phone:775-322-8098
Mailing Address - Fax:775-322-8098
Practice Address - Street 1:1000 BIBLE WAY
Practice Address - Street 2:SUITE 63
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2135
Practice Address - Country:US
Practice Address - Phone:775-322-8098
Practice Address - Fax:775-322-8098
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV113103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV184433OtherVALUEOPTIONS PROVIDER #
NV184433OtherVALUEOPTIONS PROVIDER #