Provider Demographics
NPI:1003814930
Name:WILLIAMS, R JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:R
Middle Name:JANE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 LINDBERG ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-6452
Mailing Address - Country:US
Mailing Address - Phone:484-226-5073
Mailing Address - Fax:
Practice Address - Street 1:105 BAHNSON HALL (MTS)
Practice Address - Street 2:1200 MAIN ST.
Practice Address - City:BETHELEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6614
Practice Address - Country:US
Practice Address - Phone:484-226-5073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA-008219-L103TC1900X
PAPS-008219-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWI551890Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER