Provider Demographics
NPI:1407185135
Name:WARD-WILLIAMS, DOANNE LAROSA (M ED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DOANNE
Middle Name:LAROSA
Last Name:WARD-WILLIAMS
Suffix:
Gender:F
Credentials:M ED, 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:PO BOX 46466
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27620-6466
Mailing Address - Country:US
Mailing Address - Phone:919-559-1385
Mailing Address - Fax:
Practice Address - Street 1:5937 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5597
Practice Address - Country:US
Practice Address - Phone:919-559-1385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8722235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist