Individual
DALE WAYNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8705 SHOAL CREEK BLVD, STE. 108, AUSTIN, TX 78757-6802
(512) 576-8656
(512) 459-2101
Mailing address
2704 BENBROOK DRIVE, AUSTIN, TX 78757-6953
(512) 576-8656
(512) 459-2101
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
21580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000T97A2
—
TX
Enumeration date
06/22/2006
Last updated
04/29/2015
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