Provider Demographics
NPI:1417131798
Name:WILLIAMS, EARLE HARRIS II (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EARLE
Middle Name:HARRIS
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3214 NORWAY PL
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-1224
Mailing Address - Country:US
Mailing Address - Phone:757-348-1529
Mailing Address - Fax:757-623-4966
Practice Address - Street 1:2012 CUNNINGHAM DR STE 101
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3448
Practice Address - Country:US
Practice Address - Phone:757-864-0613
Practice Address - Fax:757-623-4966
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-22
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001748103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical