Healthcare Provider Details
I. General information
NPI: 1841334935
Provider Name (Legal Business Name): SHARON ELIZABETH WILLIAMS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 QUARRY RD CHILD PSYCHIATRY
PALO ALTO CA
94305-5719
US
IV. Provider business mailing address
401 QUARRY RD CHILD PSYCHIATRY
PALO ALTO CA
94305-5719
US
V. Phone/Fax
- Phone: 650-723-5511
- Fax: 650-723-5531
- Phone: 650-723-5511
- Fax: 650-723-5531
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | PSY 15426 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: