Individual
AMBER VAIL WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY0004512
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8416054-2501
PSYCHOLOGIST
UT
01
—
9823
CLINICAL PSYCHOLOGY
MA
01
—
PSY0004512
CLINICAL PSYCHOLOGY
CO
Enumeration date
08/14/2009
Last updated
03/17/2018
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