Doctor Name: | AMANDA L. WILLIAMS |
NPI Number: | 1083998694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | PC005751 |
Business Practice Address: | 201 N 4th Ave Suite 101 Royersford, PA - 194681952 |
Business Phone Number: | 6109484372 |
Business Fax Number: | |
Mailing Address: | 323 Gay St, PHOENIXVILLE |
State: | PA |
Postal Code: | 194603722 |
Phone Number: | 6103064797 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2011 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |