Deardorff, William Wade
Deardorff, William Wade is an sole proprietor health care provider with primary practice located at 120 S Spalding Dr Suite 400, Beverly Hills CA 90212-1800. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Deardorff, William Wade can be contacted via phone (714) 437-7400.Contact Information
Primary practice address
120 S Spalding Dr Suite 400
Beverly Hills CA 90212-1800
Phone: (714) 437-7400
Fax: (714) 437-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY9740 | California |
Profile Details
| NPI number | 1568413250 |
|---|---|
| LBN Legal business name | Deardorff, William Wade |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Mar 6th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568413250 | NPPES |
| California | Other | PSY9740 | STATE LICENSE |
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