Provider Demographics
NPI:1932929205
Name:DEVORICK, WILLIAM (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:DEVORICK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 WINDMILL WAY
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8062
Mailing Address - Country:US
Mailing Address - Phone:717-419-1847
Mailing Address - Fax:
Practice Address - Street 1:315 WINDMILL WAY
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8062
Practice Address - Country:US
Practice Address - Phone:717-419-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017703101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health