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Individual

TERESA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30942
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86810A
BCBS
TX
01
P00008377
RAILROAD
TX
Enumeration date
07/05/2006
Last updated
07/08/2007
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