Individual
KEITH LEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3771 N EAGLE RD, BOISE, ID 83713-5005
(208) 939-9917
(888) 505-3331
Mailing address
3771 N EAGLE RD, BOISE, ID 83713-5005
(208) 939-9917
(888) 505-3331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202563
ID
Other
Enumeration date
08/23/2007
Last updated
08/28/2014
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