Provider Demographics
NPI:1699164608
Name:WILLIAMS, RAYMA (MT-BC)
Entity type:Individual
Prefix:
First Name:RAYMA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S CULLEN AVE
Mailing Address - Street 2:STE 118
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715
Mailing Address - Country:US
Mailing Address - Phone:812-491-9400
Mailing Address - Fax:
Practice Address - Street 1:621 S CULLEN AVE
Practice Address - Street 2:STE 118
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4137
Practice Address - Country:US
Practice Address - Phone:812-491-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist