Doctor Name: | DANIELLE LEIGH WILLIAMS |
NPI Number: | 1285983593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TLLP |
License Number: | 6301014423 |
Business Practice Address: | 1387 M-89 Otsego, MI - 49078 |
Business Phone Number: | 2696922100 |
Business Fax Number: | 2696922101 |
Mailing Address: | 1387 M-89, OTSEGO |
State: | MI |
Postal Code: | 49078 |
Phone Number: | 2696922100 |
Fax Number: | 2696922101 |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301014423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |