Provider Demographics
NPI:1457599698
Name:WILLIAMS, DON LESSIE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:LESSIE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 BOWMAN BLVD APT 408
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-0831
Mailing Address - Country:US
Mailing Address - Phone:478-471-1687
Mailing Address - Fax:
Practice Address - Street 1:4041 BOWMAN BLVD APT 408
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-0831
Practice Address - Country:US
Practice Address - Phone:478-471-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001555103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist