Healthcare Provider Details

I. General information

NPI: 1932088317
Provider Name (Legal Business Name): RICHLYN KALIHA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E PEASE AVE
WEST CARROLLTON OH
45449-1359
US

IV. Provider business mailing address

106 PARK DR
DAYTON OH
45410-1314
US

V. Phone/Fax

Practice location:
  • Phone: 937-859-5121
  • Fax:
Mailing address:
  • Phone: 843-450-9310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20253286-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: