Provider Demographics
NPI:1730326232
Name:WILLIAMS, ANNE LLOYD (AUD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LLOYD
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:ROOM 100 GEORGE HALL ON REBEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY
Mailing Address - State:MS
Mailing Address - Zip Code:38677
Mailing Address - Country:US
Mailing Address - Phone:662-915-7271
Mailing Address - Fax:662-915-7263
Practice Address - Street 1:GEORGE HALL ON REBEL DRIVE
Practice Address - Street 2:ROOM 100
Practice Address - City:UNIVERSITY
Practice Address - State:MS
Practice Address - Zip Code:38677
Practice Address - Country:US
Practice Address - Phone:662-915-7271
Practice Address - Fax:662-915-7263
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA2387231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09986591Medicaid