Provider Demographics
NPI:1902085350
Name:WILLIAMS, NANCY H (MSC,CCC-SP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSC,CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6116 E CALLE OJOS VERDE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-1945
Mailing Address - Country:US
Mailing Address - Phone:520-722-5222
Mailing Address - Fax:
Practice Address - Street 1:6116 E CALLE OJOS VERDE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-1945
Practice Address - Country:US
Practice Address - Phone:520-722-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist