MEDICARE: DR. VERONICA MARIE WILLIAMS PSYD

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	5743	PR

General Provider Information

NPI Number	:	1801342290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERONICA MARIE WILLIAMS PSYD

Provider Business Mailing Address
First Line	:	247 CALLE LAS MARIAS
Second Line	:	HYDE PARK
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4224
Country	:	US
Telephone Number	:	787-460-3247
Fax Number	:

Provider Business Practice Location Address
First Line	:	247 CALLE LAS MARIAS
Second Line	:	HYDE PARK
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4224
Country	:	US
Telephone Number	:	787-460-3247
Fax Number	:

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

Provider Enumeration Date	:	08/26/2016
Last Update Date	:	08/26/2016

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