William T Conrad, Ma.ED.
Psychologist, School in Phoenix, AZ. Individual provider (NPI-1).
NPI number1679880991
StatusActive
Last updated in NPPESSep 8, 2010
Details
- NPI
- 1679880991
- Entity type
- Individual (NPI-1)
- Name
- Mr. William T Conrad
- Credential
- Ma.ED.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2010
- Last updated
- Sep 8, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 4303899 | AZ | Yes |
Practice location
6218 S 7th StPhoenix, AZ 85042-4211
Phone 602-243-4866
Mailing address
6218 S 7th StPhoenix, AZ 85042-4211
Phone 602-243-4866
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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