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NPI Code Detail

MEDICARE: MRS. BETSY LYNN WILLIAMS MS CCC-SLP

MEDICARE: MRS. BETSY LYNN WILLIAMS MS CCC-SLP
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 Pathologist2405-154WI

General Provider Information

NPI Number : 1063577567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETSY LYNN WILLIAMS MS CCC-SLP
Provider Business Mailing Address
First Line : 945 HILLCREST CIR
Second Line :
City : PLATTEVILLE
State : WI
Zip : 53818-3715
Country : US
Telephone Number : 608-348-6255
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ALONA LN
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2202
Country : US
Telephone Number : 608-723-6357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 07/08/2007

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