Provider Demographics
NPI:1982008264
Name:WILLIAMS, BRYANA CHRISTINE (MS)
Entity Type:Individual
Prefix:
First Name:BRYANA
Middle Name:CHRISTINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 NORTHEAST EXPY NE STE A110
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-1821
Mailing Address - Country:US
Mailing Address - Phone:404-862-6525
Mailing Address - Fax:
Practice Address - Street 1:2700 NORTHEAST EXPY NE STE A110
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-1821
Practice Address - Country:US
Practice Address - Phone:404-862-6525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8530235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist