Jacqueline S Williams Psychologist Incorporated | |
20720 Ventura Blvd Ste 210 Woodland Hills CA 91364-2306 | |
(818) 224-3345 | |
(818) 587-3353 |
Full Name | Jacqueline S Williams Psychologist Incorporated |
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Speciality | Psychologist |
Location | 20720 Ventura Blvd, Woodland Hills, California |
Authorized Official Name and Position | Jacqueline S Williams (PRESIDENT) |
Authorized Official Contact | 8182243345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jacqueline S Williams Psychologist Incorporated 20720 Ventura Blvd Ste 210 Woodland Hills CA 91364-2306 Ph: (818) 224-3345 | Jacqueline S Williams Psychologist Incorporated 20720 Ventura Blvd Ste 210 Woodland Hills CA 91364-2306 Ph: (818) 224-3345 |
NPI Number | 1174958797 |
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Provider Enumeration Date | 09/13/2013 |
Last Update Date | 12/16/2013 |
Medicare PECOS PAC ID | 2567699911 |
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Medicare Enrollment ID | O20131211000567 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174958797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY 18937 (California) | Primary |
Provider Name | Jacqueline S Williams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134153216 PECOS PAC ID: 0042225740 Enrollment ID: I20060216000479 |
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