Doctor Name: | DR. CAROLINE B WILLIAMS |
NPI Number: | 1013191279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., M.P. |
License Number: | 0911 |
Business Practice Address: | 2204 Brothers Rd Ste B Santa Fe, NM - 875056975 |
Business Phone Number: | 5058190859 |
Business Fax Number: | 5055704560 |
Mailing Address: | 3222 Caminito San Lucas, SANTA FE |
State: | NM |
Postal Code: | 875070404 |
Phone Number: | 5058190859 |
Fax Number: | 5055704560 |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 02/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0911 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |