Healthcare Provider Details

I. General information

NPI: 1033044482
Provider Name (Legal Business Name): ANDREA WILLIAMS PSYCHOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 NORTHGATE BLVD STE 4
SACRAMENTO CA
95834-1227
US

IV. Provider business mailing address

4221 NORTHGATE BLVD STE 4
SACRAMENTO CA
95834-1227
US

V. Phone/Fax

Practice location:
  • Phone: 916-848-2853
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ANDREA WILLIAMS
Title or Position: OWNER
Credential: PSYD, LEP
Phone: 916-848-2853