Provider Demographics
NPI:1306984695
Name:WILLIAMS, ARTHUR DARRELL
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DARRELL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7770 REGENTS RD # 113-559
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1937
Mailing Address - Country:US
Mailing Address - Phone:858-458-5909
Mailing Address - Fax:858-458-5910
Practice Address - Street 1:7770 REGENTS RD # 113-559
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1937
Practice Address - Country:US
Practice Address - Phone:858-458-5909
Practice Address - Fax:858-458-5910
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2327103G00000X
CAPSY6047103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist