Healthcare Provider Details

I. General information

NPI: 1497265367
Provider Name (Legal Business Name): ALICIA WILLIAMS PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALICIA DROBNY

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2463 E GALA ST
MERIDIAN ID
83642-5209
US

IV. Provider business mailing address

3007 N SILVER ST
BOISE ID
83703-4424
US

V. Phone/Fax

Practice location:
  • Phone: 208-955-7333
  • Fax:
Mailing address:
  • Phone: 208-691-6227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-203294
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number0004630
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY-203294
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: