Provider Demographics
NPI:1972391696
Name:WILLIAMS, KATINA (EDD)
Entity type:Individual
Prefix:DR
First Name:KATINA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 INDIAN WOOD CIR STE E
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-4174
Mailing Address - Country:US
Mailing Address - Phone:419-241-8110
Mailing Address - Fax:
Practice Address - Street 1:1740 INDIAN WOOD CIR STE E
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-4174
Practice Address - Country:US
Practice Address - Phone:419-241-8110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator