Doctor Name: | NICOLE WILLIAMS |
NPI Number: | 1568581957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 04449 |
Business Practice Address: | 6923 Main St Queenstown, MD - 216581219 |
Business Phone Number: | 4108277590 |
Business Fax Number: | 4107786536 |
Mailing Address: | 6923 Main St, QUEENSTOWN |
State: | MD |
Postal Code: | 216581219 |
Phone Number: | 4108277590 |
Fax Number: | 4107786536 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 04449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |