Provider Demographics
NPI:1902070360
Name:SANTER, WILLIAM CHARLES III (MA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:SANTER
Suffix:III
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:SANTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:3414 OLSEN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3072
Mailing Address - Country:US
Mailing Address - Phone:806-354-9779
Mailing Address - Fax:806-351-1104
Practice Address - Street 1:3414 OLSEN BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3072
Practice Address - Country:US
Practice Address - Phone:806-354-9779
Practice Address - Fax:806-351-1104
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201520106H00000X
NE123106H00000X
NE3413101YM0800X
IA00238106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health