MEDICARE: DR. MARY FRANCIS WILLIAMS MS, LMFT, PSY.D, LP

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	103TC0700X	Clinical Psychologist	LP4498	MN

General Provider Information

NPI Number	:	1609927755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY FRANCIS WILLIAMS MS, LMFT, PSY.D, LP

Provider Business Mailing Address
First Line	:	4444 CENTERVILLE RD STE 235
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55127-3712
Country	:	US
Telephone Number	:	651-289-3111
Fax Number	:	651-289-3113

Provider Business Practice Location Address
First Line	:	4444 CENTERVILLE RD STE 235
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55127-3712
Country	:	US
Telephone Number	:	651-289-3111
Fax Number	:	651-289-3113

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	10/24/2017

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