Provider Demographics
NPI:1821331869
Name:WILLIAMS, BEVERLY ANNE (MHS,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MHS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4146D KNOB OAK LANE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-4902
Mailing Address - Country:US
Mailing Address - Phone:706-751-1358
Mailing Address - Fax:706-751-1358
Practice Address - Street 1:4146 KNOB OAK LANE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-4902
Practice Address - Country:US
Practice Address - Phone:706-751-1358
Practice Address - Fax:706-751-1358
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist