MEDICARE: DR. ASHLEY A 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	PSY0003080	CO

General Provider Information

NPI Number	:	1336416114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY A WILLIAMS PH.D.

Provider Business Mailing Address
First Line	:	4760 FLINTRIDGE DR STE 125
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4267
Country	:	US
Telephone Number	:	719-231-9609
Fax Number	:	719-570-0386

Provider Business Practice Location Address
First Line	:	4760 FLINTRIDGE DR STE 125
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4267
Country	:	US
Telephone Number	:	719-231-9609
Fax Number	:	719-570-0386

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

Provider Enumeration Date	:	11/22/2011
Last Update Date	:	07/21/2022

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