Doctor Name: | MS. HOLLY WILLIAMS |
NPI Number: | 1053476648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CAGS |
License Number: | 7632 |
Business Practice Address: | 10i Roessler Rd Woburn, MA - 018016208 |
Business Phone Number: | 7819328114 |
Business Fax Number: | |
Mailing Address: | 23 Fair Oaks St, CAMBRIDGE |
State: | MA |
Postal Code: | 021401105 |
Phone Number: | 6173351338 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |