Williams, Daniel Jacob

Williams, Daniel Jacob is an individual health care provider with primary practice located at 836 W 1St North St , Morristown TN 37814-4548. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Williams, Daniel Jacob can be contacted via phone (423) 581-5342.

Contact Information

Primary practice address
836 W 1St North St Morristown TN 37814-4548
Phone: (423) 581-5342
Fax: (423) 581-8650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 8856 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8856 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2951 Tennessee
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2951 Tennessee

Profile Details

NPI number 1740386879
LBN Legal business name Williams, Daniel Jacob
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 3rd, 2013 - about 12 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 1740386879 NPPES
Other 1031681278 MEDICARE PTAN

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