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NPI Code Detail

MEDICARE: DR. JACQUELINE STEELE WILLIAMS PSY.D.

MEDICARE:  DR. JACQUELINE STEELE WILLIAMS  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY18937CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134153216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE STEELE WILLIAMS PSY.D.
Provider Business Mailing Address
First Line : 20720 VENTURA BLVD
Second Line : SUITE 210
City : WOODLAND HILLS
State : CA
Zip : 91364-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20720 VENTURA BLVD
Second Line : SUITE 210
City : WOODLAND HILLS
State : CA
Zip : 91364-2306
Country : US
Telephone Number : 818-224-3345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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