Provider Demographics
NPI:1821889031
Name:WILLIAMS, AMY WALKER (M ED CCC/SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:WALKER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:M ED CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MUSCADINE DR
Mailing Address - Street 2:
Mailing Address - City:MC RAE HELENA
Mailing Address - State:GA
Mailing Address - Zip Code:31037-4039
Mailing Address - Country:US
Mailing Address - Phone:229-315-1108
Mailing Address - Fax:229-234-4286
Practice Address - Street 1:12 E OAK ST
Practice Address - Street 2:
Practice Address - City:MC RAE HELENA
Practice Address - State:GA
Practice Address - Zip Code:31055-4337
Practice Address - Country:US
Practice Address - Phone:229-315-1108
Practice Address - Fax:229-234-4286
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist