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Individual

DR. PAUL D WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
5 PROSPECT ST, PUTNAM, CT 06260-2127
(860) 928-5904
(860) 928-0701
Mailing address
PO BOX 471, PUTNAM, CT 06260-0471
(860) 928-5904
(860) 928-0701

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001555
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004095726
CT
01
060001555CT01
BLUE CROSS
CT
01
133470
VALUE OPTIONS
CT
01
80058
MANAGED HEALTH NETWORK
CT
Enumeration date
01/26/2006
Last updated
10/14/2010
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