Provider Demographics
NPI:1770557969
Name:MCCLAIN, WILLIAM ANDERSON (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDERSON
Last Name:MCCLAIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 N BETHLEHEM PIKE
Mailing Address - Street 2:BLG A STE 2
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1423
Mailing Address - Country:US
Mailing Address - Phone:215-628-3290
Mailing Address - Fax:215-628-8776
Practice Address - Street 1:1108 N BETHLEHEM PIKE
Practice Address - Street 2:BLG A STE 2
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1423
Practice Address - Country:US
Practice Address - Phone:215-628-3290
Practice Address - Fax:215-628-8776
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000215L103T00000X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service