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NPI Code Detail

MEDICARE: WILLIAMSON THERAPY AND LEARNING CENTER

MEDICARE: WILLIAMSON THERAPY AND LEARNING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist3584LA

General Provider Information

NPI Number : 1033609094
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMSON THERAPY AND LEARNING CENTER
Provider Business Mailing Address
First Line : 1115 ETTA DR
Second Line :
City : SAINT GABRIEL
State : LA
Zip : 70776-5619
Country : US
Telephone Number : 225-437-9535
Fax Number : 225-647-3704
Provider Business Practice Location Address
First Line : 625 S BURNSIDE AVE STE 2
Second Line :
City : GONZALES
State : LA
Zip : 70737-3400
Country : US
Telephone Number : 225-437-9535
Fax Number : 225-647-3704
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : CHARLENE T WILLIAMSON
Credential : MA, CCC SLP
Telephone Number : 225-437-9535
Provider Enumeration Date : 05/15/2018
Last Update Date : 06/06/2023

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Directions to “WILLIAMSON THERAPY AND LEARNING CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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