Doctor Name: | KIMBERLY WILLIAMS |
NPI Number: | 1437318722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, CCC-SLP |
License Number: | SA7841 |
Business Practice Address: | 35 Medical Center Pkwy Augusta, ME - 043308160 |
Business Phone Number: | 2076261000 |
Business Fax Number: | |
Mailing Address: | 1512 Palmer Ter, JACKSONVILLE |
State: | FL |
Postal Code: | 322078945 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7841 |
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 |