Provider Demographics
NPI:1558778332
Name:WILLIAMS, SHIAHNA (PHD)
Entity Type:Individual
Prefix:
First Name:SHIAHNA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHIAHNA
Other - Middle Name:
Other - Last Name:CHAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:933 BOUNDARY RD
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1519
Mailing Address - Country:US
Mailing Address - Phone:919-225-9016
Mailing Address - Fax:
Practice Address - Street 1:3200 OLD CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3606
Practice Address - Country:US
Practice Address - Phone:919-908-9308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist