Provider Demographics
NPI:1386093821
Name:WILLIAMS, CAROLINE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 ARCHIE WHEAT RD
Mailing Address - Street 2:
Mailing Address - City:POPLARVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39470-5515
Mailing Address - Country:US
Mailing Address - Phone:985-750-4571
Mailing Address - Fax:
Practice Address - Street 1:804 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-7100
Practice Address - Country:US
Practice Address - Phone:985-839-9816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9171235Z00000X
MSS4205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist