Provider Demographics
NPI:1023395845
Name:WILLIAMS, VICKI ANNETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VICKI
Middle Name:ANNETTE
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 1:4310 SALEM CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4461
Mailing Address - Country:US
Mailing Address - Phone:405-701-3642
Mailing Address - Fax:
Practice Address - Street 1:4310 SALEM CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4461
Practice Address - Country:US
Practice Address - Phone:405-701-3642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health