Provider Demographics
NPI:1003877614
Name:WILLIAMS, AMY REINHARDT (CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:REINHARDT
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 CROMWELL CT
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-6494
Mailing Address - Country:US
Mailing Address - Phone:770-382-6917
Mailing Address - Fax:770-382-3276
Practice Address - Street 1:116 FORREST AVE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3640
Practice Address - Country:US
Practice Address - Phone:770-382-3206
Practice Address - Fax:770-382-3276
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004089235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist