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NPI Code Detail

MEDICARE: DR. MAURICE WILLIAMS PH.D.

MEDICARE:  DR. MAURICE  WILLIAMS  PH.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
1103T00000XPsychologist34561MS

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 : 1144272709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICE WILLIAMS PH.D.
Provider Business Mailing Address
First Line : 754 WINGFIELD ST
Second Line :
City : JACKSON
State : MS
Zip : 39209-7130
Country : US
Telephone Number : 601-353-5861
Fax Number : 601-353-5893
Provider Business Practice Location Address
First Line : 754 WINGFIELD ST
Second Line :
City : JACKSON
State : MS
Zip : 39209-7130
Country : US
Telephone Number : 601-353-5861
Fax Number : 601-353-5893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MAURICE WILLIAMS PH.D.” Practice Location

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