Doctor Name: | DR. PAULA JEANETTE WILLIAMS |
NPI Number: | 1407903263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | MFC34306 |
Business Practice Address: | 3501 Lone Tree Way Suite 200 Antioch, CA - 945096066 |
Business Phone Number: | 9254278664 |
Business Fax Number: | 9254278645 |
Mailing Address: | 1245 N Commerce St, STOCKTON |
State: | CA |
Postal Code: | 952021205 |
Phone Number: | 2092718879 |
Fax Number: | 2099440773 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MFC34306 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |