Provider Demographics
NPI:1598493900
Name:WILLIAMS, BECKY SUE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:SUE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 E STATE HIGHWAY 29
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-2424
Mailing Address - Country:US
Mailing Address - Phone:281-813-6892
Mailing Address - Fax:
Practice Address - Street 1:200 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4525
Practice Address - Country:US
Practice Address - Phone:281-813-6892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist