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NPI Code Detail

MEDICARE: ANNE ELIZABETH WILLIAMSON CCC-SLP

MEDICARE: ANNE ELIZABETH WILLIAMSON 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 Pathologist112718TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1112718OTHERTXSPEECH THERAPY LICENSE

General Provider Information

NPI Number : 1760027197
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ELIZABETH WILLIAMSON CCC-SLP
Provider Business Mailing Address
First Line : 3125 SONDRA DR APT 203
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10640 N RIVERSIDE DR STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9506
Country : US
Telephone Number : 817-431-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2019
Last Update Date : 12/19/2024

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Directions to “ ANNE ELIZABETH WILLIAMSON CCC-SLP” Practice Location

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