Provider Demographics
NPI:1730165754
Name:WILLIAMS, CAROLYN C (AUD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 W CHANDLER AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6114
Mailing Address - Country:US
Mailing Address - Phone:714-662-0760
Mailing Address - Fax:714-662-0760
Practice Address - Street 1:1301 PROVIDENCE AVENUE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-8344
Practice Address - Country:US
Practice Address - Phone:714-639-4990
Practice Address - Fax:714-221-0977
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist