MEDICARE: NONA 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
1	103TC0700X	Clinical Psychologist	PSY20867	CA

General Provider Information

NPI Number	:	1427094135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NONA WILLIAMS PSY.D.

Provider Business Mailing Address
First Line	:	10642 SANTA MONICA BLVD
Second Line	:	SUITE 201
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4525
Country	:	US
Telephone Number	:	310-433-1379
Fax Number	:

Provider Business Practice Location Address
First Line	:	10642 SANTA MONICA BLVD
Second Line	:	SUITE 201
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4525
Country	:	US
Telephone Number	:	310-433-1379
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/21/2022

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