| Disabilities Liberated Llc | |
|
128 Marshall St Yellow Springs OH 45387-1618 | |
| (937) 266-9375 | |
| Not Available |
| Full Name | Disabilities Liberated Llc |
|---|---|
| Speciality | Psychologist |
| Location | 128 Marshall St, Yellow Springs, Ohio |
| Authorized Official Name and Position | Julie Lynn Williams (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9372669375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Disabilities Liberated Llc 128 Marshall St Yellow Springs OH 45387-1618 Ph: (937) 266-9375 | Disabilities Liberated Llc 128 Marshall St Yellow Springs OH 45387-1618 Ph: (937) 266-9375 |
| NPI Number | 1003671561 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 1355883885 |
|---|---|
| Medicare Enrollment ID | O20240611004219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003671561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518925189 PECOS PAC ID: 6901816768 Enrollment ID: I20060425000418 |
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