Provider Demographics
NPI:1316036841
Name:MCWILLIAMS, NANCY RILEY (PHD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:RILEY
Last Name:MCWILLIAMS
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 1:9 MINE ST
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1515
Mailing Address - Country:US
Mailing Address - Phone:908-782-9766
Mailing Address - Fax:908-788-5527
Practice Address - Street 1:9 MINE ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1515
Practice Address - Country:US
Practice Address - Phone:908-782-9766
Practice Address - Fax:908-788-5527
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1260103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMC693418Medicare ID - Type UnspecifiedPSYCHOLOGIST