Doctor Name: | MARTHA LYNN WILLIAMS |
NPI Number: | 1033473160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3925 N Martin L King Blvd Ste 208 North Las Vegas, NV - 890327673 |
Business Phone Number: | 7026381010 |
Business Fax Number: | |
Mailing Address: | 3925 N Martin L King Blvd, Ste 208 NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890327673 |
Phone Number: | 7026381010 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2012 |
NPI Last Update Date: | 07/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |