Susan C Williams,Phd,Pa

LBN: Susan C Williams,Phd,Pa
Susan C Williams,Phd,Pa is an health care organization with primary practice located at 2107 Hendricks Ave Ste 2 , Jacksonville FL 32207-3370. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Susan C Williams,Phd,Pa can be contacted via phone (904) 716-0757, or through Williams, Susan Craven via phone (904) 716-0757.

Contact Information

Primary practice address
2107 Hendricks Ave Ste 2 Jacksonville FL 32207-3370
Phone: (904) 716-0757
Fax: (904) 425-0028
Website:
Map and Directions
Authorized official contact:
Name: Williams, Susan Craven PHD
Phone: (904) 716-0757

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5815 Florida

Profile Details

NPI number 1780971671
LBN Legal business name Susan C Williams,Phd,Pa
DBA Doing business as
Authorized official Williams, Susan Craven PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2011
Last updated Jan 14th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780971671 NPPES
Florida Other 1780604736 NPI TYPE 1

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