Provider Demographics
NPI:1508305046
Name:WILLIAMS-SCHAFER, BIANCA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BIANCA
Middle Name:
Last Name:WILLIAMS-SCHAFER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:BIANCA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5510 N HIMES AVE
Mailing Address - Street 2:APT 215
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614
Mailing Address - Country:US
Mailing Address - Phone:321-917-4626
Mailing Address - Fax:
Practice Address - Street 1:5510 N HIMES AVE APT 215
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5771
Practice Address - Country:US
Practice Address - Phone:321-917-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14106416OtherASHA NUMBER
FL16785OtherSLP LICENSE NUMBER