Provider Demographics
NPI:1578918686
Name:WILLIAMS, MONICA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7461 BLACKMON RD
Mailing Address - Street 2:APT. 4204
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-8400
Mailing Address - Country:US
Mailing Address - Phone:912-481-1227
Mailing Address - Fax:
Practice Address - Street 1:7461 BLACKMON RD
Practice Address - Street 2:APT. 4204
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-8400
Practice Address - Country:US
Practice Address - Phone:912-481-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003731103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist