Provider Demographics
NPI:1841531365
Name:LAFFERTY, WILLIAM G JR (PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:LAFFERTY
Suffix:JR
Gender:M
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GRAYS LN
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-9715
Mailing Address - Country:US
Mailing Address - Phone:484-364-9921
Mailing Address - Fax:
Practice Address - Street 1:900 HERITAGE DR STE 910
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-9223
Practice Address - Country:US
Practice Address - Phone:610-850-0090
Practice Address - Fax:610-850-0089
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health