Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 5567 | OH |
NPI | 1083840490 |
---|---|
Provider Name | Dr. Laura L. Williams |
First Address | Columbus, OH 43221-2418 |
Second Address | Columbus, OH 43221-2418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2009 |
Last Update Date | 01/06/2009 |