Provider Demographics
NPI:1285358903
Name:WILLIAMS, MERYL ASHLEY (MA, MT-BC, LCAT)
Entity type:Individual
Prefix:MS
First Name:MERYL
Middle Name:ASHLEY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, MT-BC, LCAT
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Mailing Address - Street 1:482 FRANKLIN AVE APT 3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2888
Mailing Address - Country:US
Mailing Address - Phone:510-604-1643
Mailing Address - Fax:
Practice Address - Street 1:9920 4TH AVE STE 301
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8330
Practice Address - Country:US
Practice Address - Phone:347-927-6896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1604225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist