Williams, Douglas N

Williams, Douglas N is an sole proprietor health care provider with primary practice located at 380 Union St Suite 107, West Springfield MA 01089-4123. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Williams, Douglas N can be contacted via phone (413) 734-2676.

Contact Information

Primary practice address
380 Union St Suite 107 West Springfield MA 01089-4123
Fax: (413) 214-6400
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4546 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002545 Connecticut

Profile Details

NPI number 1821087396
LBN Legal business name Williams, Douglas N
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jul 9th, 2007 - about 17 years 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 1821087396 NPPES
Massachusetts MEDICAID 0524727

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