Williams, Judith L

Williams, Judith L is an sole proprietor health care provider with primary practice located at 2355 E Cedar Canyons Rd , Fort Wayne IN 46845-9330. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Williams, Judith L can be contacted via phone (260) 925-2017.

Contact Information

Primary practice address
2355 E Cedar Canyons Rd Fort Wayne IN 46845-9330
Phone: (260) 925-2017
Fax: (260) 925-9713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000462 Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042458A Indiana

Profile Details

NPI number 1508848391
LBN Legal business name Williams, Judith L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Sep 1st, 2021 - about 3 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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