Provider Demographics
NPI:1326226275
Name:WILLIAMS, ROBERT HOLDEN (MS LMFT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:HOLDEN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 NOANETT RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2424
Mailing Address - Country:US
Mailing Address - Phone:781-400-5257
Mailing Address - Fax:
Practice Address - Street 1:42 NOANETT RD
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2424
Practice Address - Country:US
Practice Address - Phone:781-400-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-02
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist