MEDICARE: KADE A WILLIAMS PSYD

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	8010006213	VA
2	103TC0700X	Clinical Psychologist	0810006213	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0810006213	OTHER		TRICARE
2	0810006213	OTHER	VA	TRICARE

General Provider Information

NPI Number	:	1528609583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADE A WILLIAMS PSYD

Provider Business Mailing Address
First Line	:	500 MACDILL BLVD, BLDG 600
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20340
Country	:	US
Telephone Number	:	567-203-7223
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 MACDILL BLVD, BLDG 600
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20340
Country	:	US
Telephone Number	:	567-203-7223
Fax Number	:

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

Provider Enumeration Date	:	10/01/2019
Last Update Date	:	01/09/2025

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Directions to “ KADE A WILLIAMS PSYD” Practice Location

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