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NPI Code Detail

MEDICARE: ROSS WILLIAMS LMFT

MEDICARE: ROSS WILLIAMS LMFT
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
1106H00000XMarriage & Family Therapist116513-3902UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1116513-3902OTHERUTSTATE LICENSE

General Provider Information

NPI Number : 1174660047
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS WILLIAMS LMFT
Provider Business Mailing Address
First Line : 474 W 200 N
Second Line : SUITE 300
City : ST GEORGE
State : UT
Zip : 84770-4505
Country : US
Telephone Number : 435-634-5600
Fax Number : 435-986-8700
Provider Business Practice Location Address
First Line : 245 E 680 S
Second Line :
City : CEDAR CITY
State : UT
Zip : 84720-3593
Country : US
Telephone Number : 435-867-7654
Fax Number : 435-986-8700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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Directions to “ ROSS WILLIAMS LMFT” Practice Location

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