MEDICARE: MARIA 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
1	2355S0801X	Speech-Language Assistant	285	OK

General Provider Information

NPI Number	:	1922876739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA WILLIAMS

Provider Business Mailing Address
First Line	:	18600 OCHOA DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-1200
Country	:	US
Telephone Number	:	910-391-1611
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 PARKLAWN DR STE 504
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4232
Country	:	US
Telephone Number	:	405-455-5582
Fax Number	:	405-455-5988

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

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	12/12/2023

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Directions to “ MARIA WILLIAMS ” Practice Location

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