Most Relevant Information
Provider Data
NPI Number: | 1003226986 |
Provider Name: | CHARLES RUSSELL WILLIAMS PH.D. |
Entity Type: | Individual |
Taxonomy Code: | 103TC0700X |
Specialty: | Psychologist |
License Number: | 4492 |
Most Important Dates
Enumeration Date: | 05/01/2014 |
Last Updated: | 04/10/2023 |
Provider Practice Location
201 23RD AVE N
NASHVILLE
TN
372031501
Practice Location Phone/Fax
Phone: | 6153487908 |
Fax: |
Provider Mailing Location
13258 DOMINUS WAY
COLORADO SPRINGS
CO
809217233
Provider Mailing Phone/Fax
Phone: | 6154830188 |
Fax: |