DR. MICHELLE RENEE WIDOWS PHD NPI 1679806533

NPI Information

  • NPI: 1679806533
  • Provider Name: DR. MICHELLE RENEE WIDOWS, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 515 CITY BLVD STE B
    WAYCROSS, GA
    ZIP 31501
  • Phone: (912) 249-4400

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NPI Details

DR. Michelle Renee Widows, PHD is a clinical psychologist in Waycross, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Michelle Renee Widows, PHD NPI is 1679806533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

515 CITY BLVD STE B
WAYCROSS, GA
ZIP 31501-016
Phone: (912) 249-4400
Fax: (912) 279-4448

The enumeration date for this NPI number is 9/10/2009 and was last updated on 5/1/2024.

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
1103T00000XPsychologist3155COLORADONo
2103T00000XPsychologistPY6699FLORIDANo
3103TC0700XPsychologistClinical3155COLORADONo
4103TH0004XPsychologistHealthPY669FLORIDANo
5103TH0004XPsychologistHealth3155COLORADONo
6103TC0700XPsychologistClinicalPY6699FLORIDAYes

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: 11/21/2025

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