| Dr. David J. Williams Ph.d. And Associates | |
|
1410 Royal Ave Monroe LA 71201-5608 | |
| (318) 998-3511 | |
| (318) 322-9492 |
| Full Name | Dr. David J. Williams Ph.d. And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 1410 Royal Ave, Monroe, Louisiana |
| Authorized Official Name and Position | Tammy Gail Williams (VICE PRESIDENT) |
| Authorized Official Contact | 3189983511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. David J. Williams Ph.d. And Associates 1410 Royal Ave Monroe LA 71201-5608 Ph: (318) 998-3511 | Dr. David J. Williams Ph.d. And Associates 1410 Royal Ave Monroe LA 71201-5608 Ph: (318) 998-3511 |
| NPI Number | 1104925932 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 03/06/2008 |
| Medicare PECOS PAC ID | 6305883919 |
|---|---|
| Medicare Enrollment ID | O20050414001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104925932 | NPI | - | NPPES |
| 549848 | Other | LA | VALUEOPTIONS |
| 1725676 | Medicaid | LA | |
| 610195500 | Other | LA | U.S. DEPT. OF LABOR |
| 2303960480 | Other | LA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 953MP (Louisiana) | Primary |
| Provider Name | David J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104953769 PECOS PAC ID: 5496724676 Enrollment ID: I20040927000106 |
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