King Iyobosa William, is a
Psychologist - Addiction (substance Use Disorder) based in Phoenix, Arizona. King Iyobosa William is licensed to practice in * (Not Available) (license number ) and his current practice location is
15640 N 7th St Ste A1, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 675-0864.
NPI number for King Iyobosa William is 1104695683 and his current mailing address is Po Box 63811, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104695683.
Healthcare Provider's Profile
| Full Name | King Iyobosa William |
|---|
| Gender | Male |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 15640 N 7th St Ste A1, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104695683
- Provider Enumeration Date: 12/26/2023
- Last Update Date: 12/26/2023
Medical Identifiers
Medical identifiers for King Iyobosa William such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104695683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. King Iyobosa William is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
King Iyobosa William,
Po Box 63811,
Phoenix, AZ 85082-3811
Ph: (480) 579-6930 | King Iyobosa William,
15640 N 7th St Ste A1,
Phoenix, AZ 85022-3520
Ph: (602) 675-0864 |
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