Individual
DR. DANIEL JACOB WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
836 W 1ST NORTH ST, MORRISTOWN, TN 37814-4548
(423) 581-5342
(423) 581-8650
Mailing address
PO BOX 1678, MORRISTOWN, TN 37816-1678
(423) 581-5342
(423) 581-8650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2951
TN
103TC0700X
Clinical Psychologist
8856
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2951
TN
103TC2200X
Clinical Child & Adolescent Psychologist
8856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031681278
MEDICARE PTAN
—
Enumeration date
09/16/2006
Last updated
12/03/2013
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