Provider Demographics
NPI:1376324111
Name:WILLIAMS, YOLANDE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23011 COVENTRY WOODS LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-2040
Mailing Address - Country:US
Mailing Address - Phone:248-352-3354
Mailing Address - Fax:248-352-3354
Practice Address - Street 1:10320 QUARTERSTAFF RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4199
Practice Address - Country:US
Practice Address - Phone:410-313-6866
Practice Address - Fax:410-313-6869
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10740235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist