NPI | 1407905995 |
---|---|
Professional Name | B STEVEN WILLIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 6244) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 6244) |
103T00000X Psychologist (Licence: MA 6244) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2015-11-25 |