Provider Demographics
NPI:1952466948
Name:MCWILLIAMS, RITA (AUD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 CHURN CREEK RD STE A
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2535
Mailing Address - Country:US
Mailing Address - Phone:530-221-7380
Mailing Address - Fax:530-221-7319
Practice Address - Street 1:3328 CHURN CREEK RD STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2535
Practice Address - Country:US
Practice Address - Phone:530-221-7380
Practice Address - Fax:530-221-7319
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU789231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0007890Medicaid
CAAU0007890Medicaid
CAZZZ95535ZMedicare ID - Type UnspecifiedMEDICARE