MEDICARE: COURTNEY J. WILLIAMS PHD

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	103T00000X	Psychologist	3729	TN

General Provider Information

NPI Number	:	1952055600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY J. WILLIAMS PHD

Provider Business Mailing Address
First Line	:	3247 HARPETH SPRINGS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-2385
Country	:	US
Telephone Number	:	919-671-6555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3247 HARPETH SPRINGS DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-2385
Country	:	US
Telephone Number	:	919-671-6555
Fax Number	:

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

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	02/10/2022

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