Healthcare Provider Details

I. General information

NPI: 1750435038
Provider Name (Legal Business Name): VELMA M WILLIAMS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 LOOP ROAD EAST TUSCALOOSA VA MEDICAL CENTER
TUSCALOOSA AL
35404-5099
US

IV. Provider business mailing address

3701 LOOP ROAD EASE TUSCALOOSA VA MEDICAL CENTER
TUSCALOOSA AL
35404-5099
US

V. Phone/Fax

Practice location:
  • Phone: 205-554-2000
  • Fax: 205-554-2058
Mailing address:
  • Phone: 205-554-2000
  • Fax: 205-554-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3088
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: