Williams Psychological Corp | |
18 Forest Ct Knoxville TN 37919-5001 | |
(865) 909-0929 | |
(865) 909-0926 |
Full Name | Williams Psychological Corp |
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Speciality | Psychologist |
Location | 18 Forest Ct, Knoxville, Tennessee |
Authorized Official Name and Position | Joshua Williams (PRESIDENT) |
Authorized Official Contact | 8659090929 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Williams Psychological Corp 18 Forest Ct Knoxville TN 37919-5001 Ph: (865) 909-0929 | Williams Psychological Corp 18 Forest Ct Knoxville TN 37919-5001 Ph: (865) 909-0929 |
NPI Number | 1710965728 |
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Provider Enumeration Date | 01/09/2006 |
Last Update Date | 12/13/2007 |
Medicare PECOS PAC ID | 6204924293 |
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Medicare Enrollment ID | O20071108000205 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710965728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Joshua Williams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073591087 PECOS PAC ID: 5092602193 Enrollment ID: I20040303000495 |
Provider Name | Laurie T Williams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437137338 PECOS PAC ID: 4486545902 Enrollment ID: I20040324001346 |
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