Provider Demographics
NPI:1699920025
Name:WILLIAMS, ANGELA JOANNA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:JOANNA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:JOANNA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:3609 PLUMAGE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5896
Mailing Address - Country:US
Mailing Address - Phone:202-491-1036
Mailing Address - Fax:
Practice Address - Street 1:235 CENTRAL HOSPITAL ROAD
Practice Address - Street 2:IDES BLDG 001
Practice Address - City:FORT EISENHOWER
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-0584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017644-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical