Doctor Name: | DR. W. WINDELL WILLIAMSON |
NPI Number: | 1891865754 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | 457 |
Business Practice Address: | 103 E Memorial Ave Opp, AL - 364671746 |
Business Phone Number: | 3344933196 |
Business Fax Number: | 3344933384 |
Mailing Address: | 103 E Memorial Ave, OPP |
State: | AL |
Postal Code: | 364671746 |
Phone Number: | 3344933196 |
Fax Number: | 3344933384 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |