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NPI Code Detail

MEDICARE: MR. HAL DAVID WILLIAMS M.A.

MEDICARE:  MR. HAL DAVID WILLIAMS  M.A.
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 TherapistCA

General Provider Information

NPI Number : 1821295858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAL DAVID WILLIAMS M.A.
Provider Business Mailing Address
First Line : 9036 CANYON SHADOWS PL
Second Line :
City : CORONA
State : CA
Zip : 92883-5056
Country : US
Telephone Number : 951-277-3255
Fax Number : 951-277-3255
Provider Business Practice Location Address
First Line : 1585 S D ST
Second Line : SUITE 101
City : SAN BERNARDINO
State : CA
Zip : 92408-3257
Country : US
Telephone Number : 909-388-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 07/08/2007

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Directions to “ MR. HAL DAVID WILLIAMS M.A.” Practice Location

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