Provider Demographics
NPI:1992130249
Name:WILLIAMS, DEBRA M (MA,CCC-SLP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-1101
Mailing Address - Country:US
Mailing Address - Phone:615-792-2070
Mailing Address - Fax:
Practice Address - Street 1:104 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1101
Practice Address - Country:US
Practice Address - Phone:615-792-2070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist