MEDICARE: ERIN E 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
1	235Z00000X	Speech-Language Pathologist	SL010035	PA

General Provider Information

NPI Number	:	1699398735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN E WILLIAMS MS CCC-SLP

Provider Business Mailing Address
First Line	:	39 CALLAHAN RD
Second Line	:
City	:	GREENVILLE
State	:	PA
Zip	:	16125-9757
Country	:	US
Telephone Number	:	814-603-1194
Fax Number	:

Provider Business Practice Location Address
First Line	:	8221 LAMOR RD
Second Line	:
City	:	MERCER
State	:	PA
Zip	:	16137-3163
Country	:	US
Telephone Number	:	724-662-5860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2020
Last Update Date	:	05/23/2020

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Directions to “ ERIN E WILLIAMS MS CCC-SLP” Practice Location

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