Individual
LYDIA ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4230 LINCOLNSHIRE DR, SUITE E, MOUNT VERNON, IL 62864-2189
(618) 242-4205
(618) 242-4209
Mailing address
4230 LINCOLNSHIRE DR, SUITE E, MOUNT VERNON, IL 62864-2189
(618) 242-4205
(618) 242-4209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04132008
BCBS
IL
Enumeration date
09/20/2006
Last updated
01/01/2013
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