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NPI Code Detail

MEDICARE: MS. DEBORAH RUTH WILLIAMS CCC-SLP

MEDICARE:  MS. DEBORAH RUTH WILLIAMS  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 Pathologist012106NY

General Provider Information

NPI Number : 1689984775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH RUTH WILLIAMS CCC-SLP
Provider Business Mailing Address
First Line : 321 LIST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-3125
Country : US
Telephone Number : 585-336-1605
Fax Number :
Provider Business Practice Location Address
First Line : 350 COOPER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-3009
Country : US
Telephone Number : 585-336-1605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 09/16/2011

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Directions to “ MS. DEBORAH RUTH WILLIAMS CCC-SLP” Practice Location

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