| Susan C Williams,phd,pa | |
|
2107 Hendricks Ave Ste 2 Jacksonville FL 32207-3370 | |
| (904) 716-0757 | |
| (904) 425-0028 |
| Full Name | Susan C Williams,phd,pa |
|---|---|
| Speciality | Psychologist |
| Location | 2107 Hendricks Ave Ste 2, Jacksonville, Florida |
| Authorized Official Name and Position | Susan Craven Williams (PSYCHOLOGIST) |
| Authorized Official Contact | 9047160757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan C Williams,phd,pa 2141 Park St Jacksonville FL 32204-3811 Ph: (904) 716-0757 | Susan C Williams,phd,pa 2107 Hendricks Ave Ste 2 Jacksonville FL 32207-3370 Ph: (904) 716-0757 |
| NPI Number | 1780971671 |
|---|---|
| Provider Enumeration Date | 06/30/2011 |
| Last Update Date | 01/14/2023 |
| Certification Date | 01/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780971671 | NPI | - | NPPES |
| 1780604736 | Other | FL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5815 (Florida) | Primary |
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