Doctor Name: | PAUL WILLIAMS |
NPI Number: | 1487013462 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC008607 |
Business Practice Address: | 4610 E Street Rd Trevose, PA - 190536612 |
Business Phone Number: | 4849040081 |
Business Fax Number: | |
Mailing Address: | 500 W 4th St, WILMINGTON |
State: | DE |
Postal Code: | 198012106 |
Phone Number: | 2158807331 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC008607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |