Provider Demographics
NPI:1871542852
Name:WILLIAMS, AMIE MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:AMIE
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:AMIE
Other - Middle Name:MARIE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:101 VERNON AVENUE
Mailing Address - Street 2:SUITE 387
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32408
Mailing Address - Country:US
Mailing Address - Phone:850-636-7000
Mailing Address - Fax:205-871-7981
Practice Address - Street 1:4408 DELWOOD LANE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32408
Practice Address - Country:US
Practice Address - Phone:205-871-6926
Practice Address - Fax:205-871-7981
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1217103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051514386OtherBCBS OF AL
AL051514386OtherBCBS OF AL
ALP76198Medicare UPIN
P76198Medicare UPIN