Individual
MR. MATTHEW BENJAMIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1640 POWERS FERRY RD SE STE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Mailing address
1640 POWERS FERRY RD SE STE 100, MARIETTA, GA 30067-5491
(770) 953-0080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004293
GA
103T00000X
Psychologist
PSY27584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205150794
—
CA
Enumeration date
03/26/2010
Last updated
11/30/2021
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