Provider Demographics
NPI:1487377966
Name:WILLIAMS, TRAMAINE S (PSYCHOLOGY INTERN)
Entity type:Individual
Prefix:MRS
First Name:TRAMAINE
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PSYCHOLOGY INTERN
Other - Prefix:MS
Other - First Name:TRAMAINE
Other - Middle Name:S
Other - Last Name:MILLER-HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYCHOLOGY INTERN
Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-539-6150
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-539-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program