Healthcare Provider Details

I. General information

NPI: 1477463669
Provider Name (Legal Business Name): MELINDA JO WILLIAMS M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 W DRAHNER RD
OXFORD MI
48371-4405
US

IV. Provider business mailing address

2209 VALLEY VISTA DR
DAVISON MI
48423-8365
US

V. Phone/Fax

Practice location:
  • Phone: 248-572-9529
  • Fax:
Mailing address:
  • Phone: 810-240-2803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101001454
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: