Provider Demographics
NPI:1407911548
Name:WILLIAMS, DAWN PILGER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:PILGER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:PILGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:18354 SW 4TH CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4307
Mailing Address - Country:US
Mailing Address - Phone:954-538-9960
Mailing Address - Fax:954-447-6314
Practice Address - Street 1:5700 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6350
Practice Address - Country:US
Practice Address - Phone:954-983-7457
Practice Address - Fax:954-447-6314
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6317103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical