| Doctor Name: | DR. CHARLES RUSSELL WILLIAMS |
| NPI Number: | 1003226986 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 4492 |
| Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center, HI - 968595001 |
| Business Phone Number: | 8084331499 |
| Business Fax Number: | |
| Mailing Address: | 91-1101 Peleleu St, EWA BEACH |
| State: | HI |
| Postal Code: | 967065618 |
| Phone Number: | 8084336060 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2014 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |