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NPI Code Detail

MEDICARE: MONICA A WILLIAMS CCC-SLP

MEDICARE: MONICA A WILLIAMS 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 PathologistK0926NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982749388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA A WILLIAMS CCC-SLP
Provider Business Mailing Address
First Line : 9605 KARTHALA AVE NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-2695
Country : US
Telephone Number : 505-836-2315
Fax Number :
Provider Business Practice Location Address
First Line : 500 LASER DR NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-4517
Country : US
Telephone Number : 505-896-0667
Fax Number : 505-896-0662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/09/2007

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Directions to “ MONICA A WILLIAMS CCC-SLP” Practice Location

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