Larae A Williams is a Clinical in Brookhaven, Georgia. Larae A Williams practices all healthcare services and medical treatments related to Clinical. The NPI Number for Larae A Williams is 1013173673. The last update date is 2015-03-09.
Larae A Williams's current location address is 2801 Buford Hwy Ne, Brookhaven, Georgia. You can contact this provider via phone number 6788255371. The mailing address for Larae A Williams is 2801 Buford Hwy Ne, Brookhaven, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larae A Williams |
|---|---|
| Address | 2801 Buford Hwy Ne, Brookhaven, Georgia |
| Phone Number | 6788255371 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1013173673 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2015-03-09 |
Provider Mailing Address Detail
| Address | 2801 Buford Hwy Ne |
|---|---|
| City | Brookhaven |
| State | Georgia (GA) |
| Post Code | 303292149 |
| Phone Number | 6788255371 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | GA003466 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3110763 | GA | -- |
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What is the Larae A Williams's unique identification number?
The Larae A Williams has been assigned the NPI (National Provider Identifier) Number 1013173673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Larae A Williams's physical address?
The Larae A Williams is physically located at 2801 Buford Hwy Ne, in the city of Brookhaven, GA, with the postal code 303292149.
What is the Larae A Williams's specialty and taxonomy code?
The Larae A Williams's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013173673 to Larae A Williams?
The Larae A Williams received its 1013173673 assignment from the Centers for Medicare & Medicaid Services on 2008-08-04.
As of what date were the Larae A Williams's details last updated?
The information pertaining to the Larae A Williams, including its address, specialty, and other details, was most recently updated on 2015-03-09.