Provider Demographics
NPI:1356612014
Name:WILLIAMSON, CHRISTOPHER JOHN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:WILLIAMSON
Suffix:
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 1:2 HARTFORD DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4940
Mailing Address - Country:US
Mailing Address - Phone:732-530-4893
Mailing Address - Fax:732-530-4975
Practice Address - Street 1:2 HARTFORD DR
Practice Address - Street 2:SUITE 203
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4940
Practice Address - Country:US
Practice Address - Phone:732-530-4893
Practice Address - Fax:732-530-4975
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ03592103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical