| Williams Psychological, Llc | |
|
403 National St Ste 1 Rapid City SD 57702-5908 | |
| (605) 341-8647 | |
| (605) 341-0489 |
| Full Name | Williams Psychological, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 403 National St Ste 1, Rapid City, South Dakota |
| Authorized Official Name and Position | Michael S Williams (PSYCHOLOGIST) |
| Authorized Official Contact | 6054411001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Psychological, Llc 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 | Williams Psychological, Llc 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 |
| NPI Number | 1902504186 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 1355715749 |
|---|---|
| Medicare Enrollment ID | O20230327001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902504186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205843141 PECOS PAC ID: 3678563459 Enrollment ID: I20230405001366 |
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