Doctor Name: | KERRY FAITH WILLIAMSON |
NPI Number: | 1376898239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | |
Business Practice Address: | 1606 Prairie Center Pkwy Suite 120 Brighton, CO - 806014004 |
Business Phone Number: | 3036594090 |
Business Fax Number: | |
Mailing Address: | 665 Manhattan Dr, Apt. 9 BOULDER |
State: | CO |
Postal Code: | 803034013 |
Phone Number: | 5209545410 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |