Provider Demographics
NPI:1154554764
Name:SCHIFF, WILLIAM (PSYD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:
Other - Last Name:SCHFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1321A INTERSTATE PKWY
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5626
Mailing Address - Country:US
Mailing Address - Phone:706-738-7246
Mailing Address - Fax:706-738-7248
Practice Address - Street 1:1321A INTERSTATE PKWY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5626
Practice Address - Country:US
Practice Address - Phone:706-738-7246
Practice Address - Fax:706-738-7248
Is Sole Proprietor?:No
Enumeration Date:2009-08-30
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003349103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA858762286AMedicaid
GA202I628929Medicare PIN