Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WILLIAM L. MOCK, PHD., LISW-S, LICDC

Active

DR. WILLIAM L. MOCK, PHD., LISW-S, LICDC is a Clinical Psychologist healthcare provider located in LAKEWOOD, Ohio. NPI 1467498113 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LAKEWOOD, OH

Registration Details

NPI Number: 1467498113
Provider Type: Individual
Gender: Male
NPI Issued: Jun 21, 2006 (20.131688365389 yrs)
Last Updated: Dec 13, 2011
Licenses: 78002 (OH)

3670 (OH)

I0002480 (OH)

Practice Information

Address: 14650 DETROIT AVENUE

SUITE LL40

LAKEWOOD, OH, 44107
Browse OH providers · Browse ZIP 44107
Phone: 2162262721
Fax: 2162262731
Primary Specialty: Clinical Psychologist
103TC0700X
Additional Specialty: Clinical Psychologist
Additional Specialty: Clinical Social Worker

Other Clinical Psychologist Providers in LAKEWOOD, OH

Name	Credential	NPI
DR. MARK ONUSKO	PSY.D.	1710390299
DR. KENDRA ANNE MATHYS	PSYD	1942673991

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.