Doctor Name: | LISA WILLIAMS |
NPI Number: | 1558738062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED |
License Number: | SLP008831 |
Business Practice Address: | 510 West Ashley Street Douglas, GA - 31533 |
Business Phone Number: | 9123459905 |
Business Fax Number: | 6787924894 |
Mailing Address: | 1206 Habersham Way, DOUGLAS |
State: | GA |
Postal Code: | 31533 |
Phone Number: | 9123459905 |
Fax Number: | 6787924894 |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008831 |
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 |