Provider Demographics
NPI:1902929839
Name:WILLIAMSON, DEEANN
Entity Type:Individual
Prefix:MISS
First Name:DEEANN
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11630 HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:STEPHENS
Mailing Address - State:AR
Mailing Address - Zip Code:71764-8020
Mailing Address - Country:US
Mailing Address - Phone:870-510-2841
Mailing Address - Fax:570-596-2000
Practice Address - Street 1:11630 HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:STEPHENS
Practice Address - State:AR
Practice Address - Zip Code:71764-8020
Practice Address - Country:US
Practice Address - Phone:870-510-2841
Practice Address - Fax:570-596-2000
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant