Provider Demographics
NPI:1811098254
Name:GERMER, WILLIAM ANDREAS (PHD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ANDREAS
Last Name:GERMER
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 1:7744 BROADWAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-821-5090
Mailing Address - Fax:210-822-7542
Practice Address - Street 1:7744 BROADWAY
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-821-5090
Practice Address - Fax:210-822-7542
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21474103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXRN71OtherBLUE CROSS BLUE SHIELD
TX283820OtherVALUE OPTIONS
TX00818PMedicare ID - Type Unspecified