| Caroline B Williams Phd Pc | |
|
112 Escalera Cir Boerne TX 78006-2963 | |
| (830) 347-4027 | |
| (505) 570-4560 |
| Full Name | Caroline B Williams Phd Pc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 112 Escalera Cir, Boerne, Texas |
| Authorized Official Name and Position | Caroline B Williams (PRESIDENT) |
| Authorized Official Contact | 5058190859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline B Williams Phd Pc 112 Escalera Cir Boerne TX 78006-2963 Ph: (830) 347-4027 | Caroline B Williams Phd Pc 112 Escalera Cir Boerne TX 78006-2963 Ph: (830) 347-4027 |
| NPI Number | 1356316814 |
|---|---|
| Provider Enumeration Date | 02/20/2006 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356316814 | NPI | - | NPPES |
| 21975264 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 911 (New Mexico) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | 20 (New Mexico) | Primary |
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