Provider Demographics
NPI:1104100239
Name:KALE, WILLIAM LEONARD (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEONARD
Last Name:KALE
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 1:1211 N WESTSHORE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-4600
Mailing Address - Country:US
Mailing Address - Phone:727-433-2135
Mailing Address - Fax:
Practice Address - Street 1:1211 N WESTSHORE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-4600
Practice Address - Country:US
Practice Address - Phone:727-433-2135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 3584103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical