| Michael D. Williams, Pc | |
|
174 Dean St Unit D Taunton MA 02780-2782 | |
| (508) 212-5730 | |
| (508) 337-9338 |
| Full Name | Michael D. Williams, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 174 Dean St, Taunton, Massachusetts |
| Authorized Official Name and Position | Michael D. Williams (OWNER) |
| Authorized Official Contact | 5082125730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Williams, Pc 3 Sandy Hill Rd Mansfield MA 02048-3246 Ph: (508) 212-5730 | Michael D. Williams, Pc 174 Dean St Unit D Taunton MA 02780-2782 Ph: (508) 212-5730 |
| NPI Number | 1881830206 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 10/22/2010 |
| Medicare PECOS PAC ID | 4789716192 |
|---|---|
| Medicare Enrollment ID | O20100721000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881830206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 7469 (Massachusetts) | Primary |
| Provider Name | Michael D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043393432 PECOS PAC ID: 7214978139 Enrollment ID: I20050520000067 |
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