Provider Demographics
NPI:1285962613
Name:WILLIAMS, SHELBY LYNN (AUD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:LYNN
Other - Last Name:POPLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:608 NW 9TH ST
Mailing Address - Street 2:SUITE 5100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1068
Mailing Address - Country:US
Mailing Address - Phone:405-664-1602
Mailing Address - Fax:405-664-1602
Practice Address - Street 1:608 NW 9TH ST
Practice Address - Street 2:SUITE 5100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1068
Practice Address - Country:US
Practice Address - Phone:405-272-7055
Practice Address - Fax:405-272-7039
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK373231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist