Provider Demographics
NPI:1154849933
Name:WILLIAMS, CAMILLA RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLA
Middle Name:RUTH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CAMILLA
Other - Middle Name:RUTH
Other - Last Name:FORSHAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15525 POMERADO RD STE C5
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2426
Mailing Address - Country:US
Mailing Address - Phone:619-403-5578
Mailing Address - Fax:886-273-9073
Practice Address - Street 1:15525 POMERADO RD STE C5
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2426
Practice Address - Country:US
Practice Address - Phone:619-403-5578
Practice Address - Fax:886-273-9073
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist