Provider Demographics
NPI:1649509696
Name:WILLIAMS, BARBARA
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3908 WELCH WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-6673
Mailing Address - Country:US
Mailing Address - Phone:510-282-9987
Mailing Address - Fax:925-754-1346
Practice Address - Street 1:1001 S 57TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-4806
Practice Address - Country:US
Practice Address - Phone:925-646-1444
Practice Address - Fax:510-374-7033
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist