Williams, Derrick L

Williams, Derrick L is an individual health care provider with primary practice located at 19 Meadowood Drive , Langhorne PA 19047-1616. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Williams, Derrick L can be contacted via phone (215) 750-4004.

Contact Information

Primary practice address
19 Meadowood Drive Langhorne PA 19047-1616
Phone: (215) 750-4004
Fax: (215) 750-4322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4846 South Carolina

Profile Details

NPI number 1154452019
LBN Legal business name Williams, Derrick L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated May 8th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154452019 NPPES
South Carolina MEDICAID 1760596480

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