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NPI Code Detail

MEDICARE: KRISHYRA DENYELL WILLIAMS

MEDICARE: KRISHYRA DENYELL WILLIAMS
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 Pathologist5409SC
2235Z00000XSpeech-Language PathologistSA12438FL
3235Z00000XSpeech-Language Pathologist1303187NC
4235Z00000XSpeech-Language Pathologist33323CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710226725
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHYRA DENYELL WILLIAMS
Provider Business Mailing Address
First Line : 2608 TANOAK TER
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-3831
Country : US
Telephone Number : 910-578-8431
Fax Number :
Provider Business Practice Location Address
First Line : 8550 BALBOA BLVD STE 242
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-3593
Country : US
Telephone Number : 818-894-2273
Fax Number : 818-357-2505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2013
Last Update Date : 05/06/2026

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Directions to “ KRISHYRA DENYELL WILLIAMS ” Practice Location

Language Start Address Practice Location
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