Provider Demographics
NPI:1235333790
Name:WILLIAMS, FALIN KEY (MS CCC SLP)
Entity Type:Individual
Prefix:MISS
First Name:FALIN
Middle Name:KEY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 WILLOW BND
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5136
Mailing Address - Country:US
Mailing Address - Phone:337-945-8490
Mailing Address - Fax:
Practice Address - Street 1:355 WILLOW BND
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-5136
Practice Address - Country:US
Practice Address - Phone:337-945-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5597235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist