Healthcare Provider Details

I. General information

NPI: 1578850079
Provider Name (Legal Business Name): MARSHA JOY WILLIAMS SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 07/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 S MAIN ST
MALVERN AR
72104-5600
US

IV. Provider business mailing address

407 CARSON ST
HOT SPRINGS AR
71901-6852
US

V. Phone/Fax

Practice location:
  • Phone: 501-337-7622
  • Fax: 501-337-7846
Mailing address:
  • Phone: 501-624-6468
  • Fax: 501-321-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberR#03-0006
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: