| Darlene Williams Ph D Pa | |
|
1227 S Myrtle Ave Clearwater FL 33756 | |
| (727) 467-4213 | |
| (727) 466-0478 |
| Full Name | Darlene Williams Ph D Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1227 S Myrtle Ave, Clearwater, Florida |
| Authorized Official Name and Position | Darlene Williams (CEO OWNER) |
| Authorized Official Contact | 7274674213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darlene Williams Ph D Pa 1227 S Myrtle Ave Clearwater FL 33756 Ph: (727) 467-4213 | Darlene Williams Ph D Pa 1227 S Myrtle Ave Clearwater FL 33756 Ph: (727) 467-4213 |
| NPI Number | 1801942834 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 5799933446 |
|---|---|
| Medicare Enrollment ID | O20120921000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801942834 | NPI | - | NPPES |
| 54118 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5540 (Florida) | Primary |
| Provider Name | Darlene Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154597128 PECOS PAC ID: 6709830359 Enrollment ID: I20050308000315 |
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