Bryman Eric Williams, PHD
Individual provider Active NPI Clinical Psychologist · Monroe, LA
NPI 1811218183 · NPPES record last updated Aug 29, 2019
Key facts
- NPI
- 1811218183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 48843 (MS)
- Practice address
- 1100 S 4TH St
Monroe, LA 71202-2804 - Phone
- (318) 600-6273
- NPI assigned
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48843 | MS | MD | Clinical Psychologist |
| 1396 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RL Traylor Enterprises, LLC | Past |
Accepting new patients | |
| B Williams Evaluative | Past | Accepting new patients | |
| House of Judah International, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1396 | LA | |
| Clinical Psychologist | 103TC0700X | 48843 | MS | Yes |
Addresses
Primary practice location
1100 S 4TH St
Monroe, LA 71202-2804
Mailing address
1001 N Livingston Rd
Madison, MS 39110-8713
Phone (601) 750-4797
Other practice location 1
1001 N Livingston Rd
Madison, MS 39110-8713
Phone (601) 750-4797
Other practice location 2
806 N 31st St Ste C
Monroe, LA 71201-3900
Phone (318) 570-2981
Other practice location 3
4104 Spurgeon Dr
Monroe, LA 71203-4415
Phone (318) 343-6751
Other providers in Monroe, LA
- Brandy Jo Williams
- Brenda Williams
- Brentoya Williams
- Britaria Williams
- Brooke Johnine Williams
- Calvin Carmichael Williams
- Cassandra Denise Williams
- Charkelia State Williams
- Charles Williams
- Christopher Chevaro Williams
All providers in Monroe, LA · Clinical Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.