Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0000001343 | TN |
Y | 103TC0700X | Clinical Psychologist | 0000001343 | TN |
NPI | 1003934753 |
---|---|
Provider Name | Dr. Joanna Rife Williams |
First Address | Knoxville, TN 37919-4824 |
Second Address | Knoxville, TN 37919-4824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |