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NPI Code Detail

MEDICARE: KATHY WILLIAMS SLP

MEDICARE:   KATHY  WILLIAMS  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 Pathologist101545TX

General Provider Information

NPI Number : 1780835900
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY WILLIAMS SLP
Provider Business Mailing Address
First Line : 1007 E PARK AVE
Second Line :
City : PALESTINE
State : TX
Zip : 75801-4500
Country : US
Telephone Number : 903-731-8023
Fax Number :
Provider Business Practice Location Address
First Line : 1007 E PARK AVE
Second Line :
City : PALESTINE
State : TX
Zip : 75801-4500
Country : US
Telephone Number : 903-731-8023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2008
Last Update Date : 09/16/2022

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Directions to “ KATHY WILLIAMS SLP” Practice Location

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