Provider Demographics
NPI:1053418954
Name:WILLIAMS, ERIN B (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2200 FORT ROOTS DR
Mailing Address - Street 2:CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM (116B/NLR)
Mailing Address - City:N LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-1709
Mailing Address - Country:US
Mailing Address - Phone:501-257-1668
Mailing Address - Fax:501-257-1671
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM (116B/NLR)
Practice Address - City:N LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-1668
Practice Address - Fax:501-257-1671
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0210P103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X259OtherBLUE CROSS
AR04120012000OtherQUALCHOICE
AR0210POtherCHAMPUS
AR04120012000OtherQUALCHOICE
AR5X259OtherBLUE CROSS