Organization
SUSAN C WILLIAMS,PHD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CRAVEN WILLIAMS PHD (PSYCHOLOGIST)
(904) 716-0757
Entity
Organization
Contact information
Practice address
2107 HENDRICKS AVE STE 2, JACKSONVILLE, FL 32207-3370
(904) 716-0757
(904) 425-0028
Mailing address
2141 PARK ST, JACKSONVILLE, FL 32204-3811
(904) 716-0757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780604736
NPI TYPE 1
FL
Enumeration date
06/30/2011
Last updated
01/14/2023
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