Provider Demographics
NPI:1265600662
Name:WILLIAMS, JOHN CRAIG JR (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CRAIG
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 CONCANNON BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-6577
Mailing Address - Country:US
Mailing Address - Phone:925-918-2469
Mailing Address - Fax:
Practice Address - Street 1:1080 CONCANNON BLVD
Practice Address - Street 2:SUITE 170
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-6577
Practice Address - Country:US
Practice Address - Phone:925-918-2469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20258103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical