Provider Demographics
NPI:1750544375
Name:CALDWELL, WILLIAM B (RN,LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:B
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:RN,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 759194
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-9194
Mailing Address - Country:US
Mailing Address - Phone:828-859-6661
Mailing Address - Fax:
Practice Address - Street 1:330 CAROLINA DR
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-0015
Practice Address - Country:US
Practice Address - Phone:828-859-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1088106H00000X
NC1361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist