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Keith Lee Williams, Ph.D.

Psychologist, Clinical in Boise, ID. Individual provider (NPI-1).

NPI number1174716005
StatusActive
Last updated in NPPESAug 28, 2014

Details

NPI
1174716005
Entity type
Individual (NPI-1)
Name
Keith Lee Williams
Credential
Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2007
Last updated
Aug 28, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY-202563IDYes

Practice location

3771 N Eagle Rd
Boise, ID 83713-5005

Phone 208-939-9917 · Fax 888-505-3331

Mailing address

3771 N Eagle Rd
Boise, ID 83713-5005

Phone 208-939-9917 · Fax 888-505-3331

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