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:
Health care specialties
| Specialty | Code | License # | 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 5 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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