Provider Demographics
NPI:1740534478
Name:WILLIAMS, ROSALYNN D (MS)
Entity type:Individual
Prefix:
First Name:ROSALYNN
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1619
Mailing Address - Country:US
Mailing Address - Phone:610-809-9226
Mailing Address - Fax:
Practice Address - Street 1:939 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1619
Practice Address - Country:US
Practice Address - Phone:610-809-9226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health