Willoughby, Frederick William

Willoughby, Frederick William is an sole proprietor health care provider with primary practice located at 1901 S 1St St , Temple TX 76504-7451. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Willoughby, Frederick William can be contacted via phone (254) 743-2866.

Contact Information

Primary practice address
1901 S 1St St Temple TX 76504-7451
Phone: (254) 743-2866
Fax: (254) 743-0495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 23185 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 23185 Texas

Profile Details

NPI number 1497865075
LBN Legal business name Willoughby, Frederick William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497865075 NPPES
Texas Other 1221571414 PSYCHOLOGIST

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