Provider Demographics
NPI:1891865754
Name:WILLIAMSON, W. WINDELL (EDD)
Entity Type:Individual
Prefix:DR
First Name:W.
Middle Name:WINDELL
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E MEMORIAL AVE
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-1746
Mailing Address - Country:US
Mailing Address - Phone:334-493-3196
Mailing Address - Fax:334-493-3384
Practice Address - Street 1:103 E MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-1746
Practice Address - Country:US
Practice Address - Phone:334-493-3196
Practice Address - Fax:334-493-3384
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health