Doctor Name: | SHAWANNA LYNETTE WILLIAMS |
NPI Number: | 1104028570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP006336 |
Business Practice Address: | 2609 Clarkston Ct Augusta, GA - 309090612 |
Business Phone Number: | 7065649169 |
Business Fax Number: | 7063645353 |
Mailing Address: | 2609 Clarkston Ct, AUGUSTA |
State: | GA |
Postal Code: | 309090612 |
Phone Number: | 7065649169 |
Fax Number: | 7063645353 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |