Healthcare Provider Details

I. General information

NPI: 1407063530
Provider Name (Legal Business Name): RICHARD CRAIG WILLIAMS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N VAN BUREN ST
WILMINGTON DE
19806-4313
US

IV. Provider business mailing address

PO BOX 7523
NEWARK DE
19714-7523
US

V. Phone/Fax

Practice location:
  • Phone: 302-563-1369
  • Fax: 302-571-8841
Mailing address:
  • Phone: 302-563-1369
  • Fax: 302-571-8841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberB1-0000501
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3572
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: