Dr. Frederick William Willoughby
Psychologist Addiction Psychologist (Substance Use Disorder)
1901 S 1st St
Temple
, Texas 76504-7451
Dr. Frederick William Willoughby
Psychologist Addiction Psychologist (Substance Use Disorder)
1901 S 1st St
Temple
, Texas 76504-7451
(254) 743-0495
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Dr. Frederick William Willoughby
- 1901 S 1st St
- Temple, TX
- Zip : 76504-7451
- Fax : (254) 743-0495
- Phone : (254) 743-2866
Second Address
- Dr. Frederick William Willoughby
- 1901 S 1st St
- Temple, TX
- Zip : 76504-7451
- Fax : (254) 743-0495
- Phone : (254) 743-2866
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 23185 | TX |
| N | 103T00000X | Psychologist | 23185 | TX |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 23185 | TX |
National Provider Identifier
| NPI | 1497865075 |
|---|---|
| Provider Name | Dr. Frederick William Willoughby |
| First Address | Temple, TX 76504-7451 |
| Second Address | Temple, TX 76504-7451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1221571414 | PSYCHOLOGIST (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.