Williams, Maurice
Williams, Maurice is an sole proprietor health care provider with primary practice located at 754 Wingfield St , Jackson MS 39209-7130. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Williams, Maurice can be contacted via phone (601) 353-5861.Contact Information
Primary practice address
754 Wingfield St
Jackson MS 39209-7130
Phone: (601) 353-5861
Fax: (601) 353-5893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 34561 | Mississippi |
Profile Details
| NPI number | 1144272709 |
|---|---|
| LBN Legal business name | Williams, Maurice |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144272709 | NPPES |
| Mississippi | MEDICAID | 00118672 |
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