Provider Demographics
NPI:1336310796
Name:WILLIAMS, SCOTT A (WA STATE LIC HA2083)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:WA STATE LIC HA2083
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14410
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99214-0410
Mailing Address - Country:US
Mailing Address - Phone:509-921-0453
Mailing Address - Fax:
Practice Address - Street 1:12707 E GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0343
Practice Address - Country:US
Practice Address - Phone:509-921-0453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2083237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist