Provider Demographics
NPI:1386267177
Name:WILLIAMS, ELIZABETH GUFFEY (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GUFFEY
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 1:4 GRANDVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-1517
Mailing Address - Country:US
Mailing Address - Phone:423-360-0544
Mailing Address - Fax:
Practice Address - Street 1:200 SPRING HILL TER
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-1800
Practice Address - Country:US
Practice Address - Phone:276-821-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist