Individual
DR. NICOLE JOSEPHINE WILLIAMS-MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
475 W GOVERNOR RD, HERSHEY, PA 17033-2217
(717) 256-2621
Mailing address
475 W GOVERNOR RD, HERSHEY, PA 17033-2217
(717) 256-2621
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016323
PA
103TC0700X
Clinical Psychologist
Primary
PY0572
NV
103TC2200X
Clinical Child & Adolescent Psychologist
PS016323
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PY0572
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB227Z
MEDICARE PTAN
NV
01
—
DZ414A
MEDICARE GROUP PTAN
NV
Enumeration date
01/07/2009
Last updated
01/21/2026
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