Provider Demographics
NPI:1801342290
Name:WILLIAMS, VERONICA MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 CALLE LAS MARIAS
Mailing Address - Street 2:HYDE PARK
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4224
Mailing Address - Country:US
Mailing Address - Phone:787-460-3247
Mailing Address - Fax:
Practice Address - Street 1:247 CALLE LAS MARIAS
Practice Address - Street 2:HYDE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4224
Practice Address - Country:US
Practice Address - Phone:787-460-3247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5743103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical