Provider Demographics
NPI:1881170165
Name:WILLIAM J DESS, PH.D. CLINICAL PSYCHOLOGY A PROF CORP.
Entity type:Organization
Organization Name:WILLIAM J DESS, PH.D. CLINICAL PSYCHOLOGY A PROF CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DESS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-533-2225
Mailing Address - Street 1:741 GARDEN VIEW CT
Mailing Address - Street 2:SUITE 211
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2472
Mailing Address - Country:US
Mailing Address - Phone:760-479-0557
Mailing Address - Fax:760-479-0781
Practice Address - Street 1:741 GARDEN VIEW CT.
Practice Address - Street 2:SUITE 211
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2472
Practice Address - Country:US
Practice Address - Phone:760-479-0557
Practice Address - Fax:760-479-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5035103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty