Provider Demographics
NPI:1528514858
Name:DIAZ-WILLIAMS, PAZ (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:PAZ
Middle Name:
Last Name:DIAZ-WILLIAMS
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:MS
Other - First Name:PAZ
Other - Middle Name:
Other - Last Name:DIAZ-WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:6693 JACKSON AVE
Mailing Address - Street 2:JOINT BASE LEWIS-MCCHORD
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98433
Mailing Address - Country:US
Mailing Address - Phone:253-968-7918
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98433
Practice Address - Country:US
Practice Address - Phone:253-968-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14089589235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14089589OtherSTATE LICENSE