Provider Demographics
NPI:1518638436
Name:WILLIAMS, CECILY CYMONE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CECILY
Middle Name:CYMONE
Last Name:WILLIAMS
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 1:11201 OTSEGO ST APT 207
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3709
Mailing Address - Country:US
Mailing Address - Phone:985-791-6216
Mailing Address - Fax:
Practice Address - Street 1:11201 OTSEGO ST APT 207
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3709
Practice Address - Country:US
Practice Address - Phone:985-791-6216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist