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General NPI Number Information
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NPI Number | 1497265367
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Entity Type | Individual
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Provider Name | ALICIA WILLIAMS PSY.D
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Gender | Female
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2463 E GALA ST
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City | MERIDIAN
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State | ID
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Zip | 83642-5209
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Country | US
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Telephone | 208-955-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 N SILVER ST
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City | BOISE
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State | ID
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Zip | 83703-4424
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Country | US
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Telephone | 208-691-6227
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-203294
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 0004630
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY-203294
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License Number State | ID
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