Provider Demographics
NPI:1063577096
Name:WILLIAMS, KENDALL PIERRE (PHD)
Entity type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:PIERRE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 BLANCHET DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-3925
Mailing Address - Country:US
Mailing Address - Phone:337-237-5035
Mailing Address - Fax:
Practice Address - Street 1:1733 BLANCHET DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-3925
Practice Address - Country:US
Practice Address - Phone:337-237-5035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2059101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional