| Doctor Name: | MR. ROBERT WILLIAMS |
| NPI Number: | 1124495965 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 10 |
| Business Practice Address: | 11 Roxbury Street 2nd Floor, Pyramid Builders Roxbury, MA - 02118 |
| Business Phone Number: | 6175160280 |
| Business Fax Number: | |
| Mailing Address: | 155 Northampton St, #408 ROXBURY |
| State: | MA |
| Postal Code: | 021181861 |
| Phone Number: | 8572121172 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2015 |
| NPI Last Update Date: | 08/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 10 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |