Provider Demographics
NPI:1790594174
Name:OZED-WILLIAMS, MISHAEL (PHD)
Entity type:Individual
Prefix:
First Name:MISHAEL
Middle Name:
Last Name:OZED-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 1:13021 S 48TH ST APT 2083
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-4165
Mailing Address - Country:US
Mailing Address - Phone:347-207-2282
Mailing Address - Fax:
Practice Address - Street 1:13021 S 48TH ST APT 2083
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-4165
Practice Address - Country:US
Practice Address - Phone:347-207-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist