Healthcare Provider Details

I. General information

NPI: 1881867133
Provider Name (Legal Business Name): JONI LACHELLE WILLIAMSON-TURNER PSYD, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 LAKE FOREST DR
UPPER MARLBORO MD
20774-8992
US

IV. Provider business mailing address

2604 LAKE FOREST DR
UPPER MARLBORO MD
20774-8992
US

V. Phone/Fax

Practice location:
  • Phone: 813-215-6350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04225
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1000554
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: