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Individual

DR. DARLENE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3060 ALT 19, STE. B-12, PALM HARBOR, FL 34683
(727) 467-4213
Mailing address
2625 KEYSTONE RD STE A-4, TARPON SPRINGS, FL 34688-7436
(727) 467-4213
(727) 479-0670

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54118B
MEDICARE INDIVIDUAL PROVIDER ID
FL
Enumeration date
04/30/2008
Last updated
06/01/2018
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