DALE WAYNE WILLIAMS PHD NPI 1568408730

NPI Information

  • NPI: 1568408730
  • Provider Name: DALE WAYNE WILLIAMS, PHD
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8705 SHOAL CREEK BLVD
    STE. 108
    AUSTIN, TX
    ZIP 78757
  • Phone: (512) 576-8656

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NPI Details

Dale Wayne Williams, PHD is a health service psychologist in Austin, TX with 49 years of experience. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Dale Wayne Williams, PHD NPI is 1568408730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8705 SHOAL CREEK BLVD
STE. 108
AUSTIN, TX
ZIP 78757-802
Phone: (512) 576-8656
Fax: (512) 459-2101

The NPI 1568408730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 4/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth Service21580TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S17353MEDICARE UPIN
2P000T97A2MEDICAIDTEXAS
300T97AMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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