Healthcare Provider Details

I. General information

NPI: 1093841421
Provider Name (Legal Business Name): WESLEY MORGAN WILLIAMS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 E DICKENSON PL
DENVER CO
80222-6012
US

IV. Provider business mailing address

1333 IRIS AVE
BOULDER CO
80304-2226
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-6500
  • Fax: 303-782-0916
Mailing address:
  • Phone: 303-413-6296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0002861
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: