Provider Demographics
NPI:1972839926
Name:WILLIAMS, MEGAN SHOEMAKER (MCD/CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:SHOEMAKER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MCD/CCC-SLP
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:SHOEMAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26310 OAK RIDGE DR STE 33
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3777
Mailing Address - Country:US
Mailing Address - Phone:318-235-5425
Mailing Address - Fax:
Practice Address - Street 1:26310 OAK RIDGE DR STE 33
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3777
Practice Address - Country:US
Practice Address - Phone:318-235-5425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109874235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist