Provider Demographics
NPI:1881922607
Name:FYLER, WILLIAM DAVID (LCMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DAVID
Last Name:FYLER
Suffix:
Gender:M
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-1530
Mailing Address - Country:US
Mailing Address - Phone:620-874-8555
Mailing Address - Fax:620-872-3706
Practice Address - Street 1:225 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-1530
Practice Address - Country:US
Practice Address - Phone:620-874-8555
Practice Address - Fax:620-872-3706
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS345106H00000X
CO905106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist