Doctor Name: | MRS. MELANIE WILLIAMS |
NPI Number: | 1861834392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SSP, NCSP |
License Number: | 250120 |
Business Practice Address: | 414 S Pine St Walhalla, SC - 296912146 |
Business Phone Number: | 8648864400 |
Business Fax Number: | |
Mailing Address: | 414 S Pine St, WALHALLA |
State: | SC |
Postal Code: | 296912146 |
Phone Number: | 8648864400 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2013 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 250120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |