Provider Demographics
NPI:1194148932
Name:WILLIAMS, MARY NEWTON (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:NEWTON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 S PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2921
Mailing Address - Country:US
Mailing Address - Phone:423-886-0073
Mailing Address - Fax:
Practice Address - Street 1:100 JAMES BLVD
Practice Address - Street 2:ALEXIAN HEALTH AND REHABILITATION CENTER
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-1860
Practice Address - Country:US
Practice Address - Phone:423-886-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP0000001464235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist