Individual
KELLI SUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1800 LOMBARD ST, GROUND FLOOR, PHILADELPHIA, PA 19146-1414
(215) 662-3259
(215) 615-3610
Mailing address
1800 LOMBARD ST, GROUND FLOOR, PHILADELPHIA, PA 19146-1414
(215) 662-3259
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS006186L
PA
103TR0400X
Rehabilitation Psychologist
PS006186L
PA
2084P0800X
Psychiatry Physician
Primary
PS006186L
PA
Other
Enumeration date
09/26/2008
Last updated
01/29/2013
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