Provider Demographics
NPI:1487637708
Name:WILLIAMSON, KAREN S (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HAWKSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-5347
Mailing Address - Country:US
Mailing Address - Phone:229-347-1010
Mailing Address - Fax:
Practice Address - Street 1:108 HAWKSTEAD DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-5347
Practice Address - Country:US
Practice Address - Phone:229-347-1010
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00746235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist