Doctor Name: | MARLENE C. WILLIAMS |
NPI Number: | 1720267164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT-BC |
License Number: | 14559 |
Business Practice Address: | 412 E Eagle Rd Havertown, PA - 190831635 |
Business Phone Number: | 6104499669 |
Business Fax Number: | 6104495566 |
Mailing Address: | 412 E Eagle Rd, HAVERTOWN |
State: | PA |
Postal Code: | 190831635 |
Phone Number: | 6104499669 |
Fax Number: | 6104495566 |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 14559 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |