Provider Demographics
NPI:1194751651
Name:VAIL, WILLIAM LLOYD (LMFT)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LLOYD
Last Name:VAIL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38678 15TH ST E
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-3904
Mailing Address - Country:US
Mailing Address - Phone:661-816-7889
Mailing Address - Fax:661-277-1233
Practice Address - Street 1:38678 15TH ST E
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3904
Practice Address - Country:US
Practice Address - Phone:661-816-7889
Practice Address - Fax:661-277-1233
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33639106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist