Provider Demographics
NPI:1174756563
Name:KIRKLEY, WILLIAM LLOYD (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LLOYD
Last Name:KIRKLEY
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 1:14395 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2855
Mailing Address - Country:US
Mailing Address - Phone:719-488-1390
Mailing Address - Fax:719-520-0236
Practice Address - Street 1:218 E CACHE LA POUDRE ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2903
Practice Address - Country:US
Practice Address - Phone:719-520-1711
Practice Address - Fax:719-520-0236
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health