Provider Demographics
NPI:1841386430
Name:WILLIAMS, KYM (MSED,MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KYM
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSED,MS CCC-SLP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:62 HIGHLANDS BLVD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-7208
Mailing Address - Country:US
Mailing Address - Phone:201-233-0655
Mailing Address - Fax:
Practice Address - Street 1:62 HIGHLANDS BLVD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-7208
Practice Address - Country:US
Practice Address - Phone:201-233-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013150235Z00000X
NJYS00413300235Z00000X
PASL008459235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist