Provider Demographics
NPI:1801184775
Name:WILLIAMSON, SHERYL L
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 MELODY DR
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-3559
Mailing Address - Country:US
Mailing Address - Phone:580-504-4276
Mailing Address - Fax:
Practice Address - Street 1:1108 MELODY DR
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-3559
Practice Address - Country:US
Practice Address - Phone:580-504-4276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor