Provider Demographics
NPI:1174372452
Name:KOREY, WILLIAM REGIS (PSYD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:REGIS
Last Name:KOREY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N FIRST ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16928-9613
Mailing Address - Country:US
Mailing Address - Phone:215-687-6971
Mailing Address - Fax:
Practice Address - Street 1:221 N FIRST ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:PA
Practice Address - Zip Code:16928-9613
Practice Address - Country:US
Practice Address - Phone:215-687-6971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor