Doctor Name: | MRS. TRACI MICHELLE WILLIAMS |
NPI Number: | 1235478801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SA5752 |
Business Practice Address: | 1099 W Town Pkwy Altamonte Springs, FL - 327143845 |
Business Phone Number: | 4078658000 |
Business Fax Number: | |
Mailing Address: | 334 Pine Tree Rd, LAKE MARY |
State: | FL |
Postal Code: | 327463618 |
Phone Number: | 4076872585 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2013 |
NPI Last Update Date: | 02/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |