Provider Demographics
NPI:1336518729
Name:WILLIAMS, RYAN M (MA)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S LIVINGSTON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3932
Mailing Address - Country:US
Mailing Address - Phone:724-875-9606
Mailing Address - Fax:
Practice Address - Street 1:301 S LIVINGSTON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3932
Practice Address - Country:US
Practice Address - Phone:724-875-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst