Provider Demographics
NPI:1851629711
Name:WILLIAMS, JANA ALAINE (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:ALAINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NOLAN TRCE
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-3914
Mailing Address - Country:US
Mailing Address - Phone:337-238-5574
Mailing Address - Fax:337-238-5587
Practice Address - Street 1:300 NOLAN TRCE
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-3914
Practice Address - Country:US
Practice Address - Phone:337-238-5574
Practice Address - Fax:337-238-5587
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6118235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist