Diane Vennessa Davis-Williams in Matteson - Speech-language Pathologist

Diane Vennessa Davis-Williams - NPI 1053519090

Diane Vennessa Davis-Williams is a Speech-language Pathologist in Matteson, Illinois. Diane Vennessa Davis-Williams practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Diane Vennessa Davis-Williams is 1053519090. The last update date is 2007-07-10.

Diane Vennessa Davis-Williams's current location address is 4747 Lincoln Mall Dr, Matteson, Illinois. You can contact this provider via phone number 7086790680 and fax number 7086790683. The mailing address for Diane Vennessa Davis-Williams is 4747 Lincoln Mall Dr, Matteson, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Vennessa Davis-Williams
Address 4747 Lincoln Mall Dr, Matteson, Illinois
Phone Number 7086790680
Fax Number 7086790683
Sole Proprietor N
Credentials CCC-SLP

NPI Number Detail

NPI Number 1053519090
Provider Enumeration Date 2007-07-10
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 4747 Lincoln Mall Dr
City Matteson
State Illinois (IL)
Post Code 604433811
Phone Number 7086790680
Fax Number 7086790683

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Diane Vennessa Davis-Williams

What is the Diane Vennessa Davis-Williams's 1053519090?

The Diane Vennessa Davis-Williams's NPI (National Provider Identifier) Number is 1053519090. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Diane Vennessa Davis-Williams is physically located?

The Diane Vennessa Davis-Williams is physically situated at the following address: 4747 Lincoln Mall Dr, Matteson, IL, 604433811.

What is Diane Vennessa Davis-Williams's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Diane Vennessa Davis-Williams is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.

On what date did the Diane Vennessa Davis-Williams receive its 1053519090 assignment from the Centers for Medicare & Medicaid Services?

The Diane Vennessa Davis-Williams was assigned its 1053519090 by the Centers for Medicare & Medicaid Services on 2007-07-10.

As of what date was the information pertaining to Diane Vennessa Davis-Williams, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Diane Vennessa Davis-Williams, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-10.

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