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NPI Code Detail

MEDICARE: SHAINA WILLIAMS

MEDICARE: SHAINA WILLIAMS
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 Pathologist

General Provider Information

NPI Number : 1841817392
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAINA WILLIAMS
Provider Business Mailing Address
First Line : 408 CLEARBROOKE TER
Second Line :
City : COTTAGE GROVE
State : WI
Zip : 53527-9317
Country : US
Telephone Number : 698-843-8829
Fax Number :
Provider Business Practice Location Address
First Line : 6674 RONALD REAGAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-2395
Country : US
Telephone Number : 608-556-6120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 07/01/2020

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Directions to “ SHAINA WILLIAMS ” Practice Location

Language Start Address Practice Location
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