Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY 18359 | CA |
N | 103TC0700X | Clinical Psychologist | PSY 18359 | CA |
N | 102L00000X | Psychologist | PSY 18359 | CA |
N | 103T00000X | Psychologist | PSY 18359 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY 18359 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY 18359 | CA |
N | 103G00000X | Clinical Psychologist | PSY 18359 | CA |
N | 103TC0700X | Clinical Psychologist | PSY 18359 | CA |
N | 103TF0200X | Forensic Psychologist | PSY 18359 | CA |
N | 103TP2701X | Group Psychotherapist | PSY 18359 | CA |
NPI | 1447273446 |
---|---|
Provider Name | Dr. William Albert Reese III |
First Address | Carmel Valley, CA 93924-2410 |
Second Address | Salinas, CA 93901-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P64007 | (02) | CA |