Provider Demographics
NPI:1437455367
Name:WILLIAMS, NANCY JOAN (MA)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JOAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4360 SAN MIGUEL CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6335
Mailing Address - Country:US
Mailing Address - Phone:781-248-5132
Mailing Address - Fax:
Practice Address - Street 1:4360 SAN MIGUEL CIR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-6335
Practice Address - Country:US
Practice Address - Phone:925-665-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-10
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52762106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist