Provider Demographics
NPI:1760583090
Name:WILLIAMS, ALLISON HARTSOCK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:HARTSOCK
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SHAWN
Other - Middle Name:ALLISON
Other - Last Name:HARTSOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:249 E NC HIGHWAY 54
Mailing Address - Street 2:SUITE 320
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7512
Mailing Address - Country:US
Mailing Address - Phone:919-753-1080
Mailing Address - Fax:919-753-1089
Practice Address - Street 1:249 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 320
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7512
Practice Address - Country:US
Practice Address - Phone:919-753-1080
Practice Address - Fax:919-753-1089
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3799103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107465Medicaid
NCQ39536AMedicare PIN