MEDICARE: CHRISTOPHER PATRICK WILLIAMS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301019196	MI

General Provider Information

NPI Number	:	1003505967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PATRICK WILLIAMS PH.D.

Provider Business Mailing Address
First Line	:	2510 GALPIN AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-3115
Country	:	US
Telephone Number	:	773-218-0523
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 GALPIN AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-3115
Country	:	US
Telephone Number	:	773-218-0523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/04/2023

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