Provider Demographics
NPI:1013113596
Name:WILLIAMS, KATRINA BELTON (SLP)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:BELTON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13112 IMPERIAL SHORE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6744
Mailing Address - Country:US
Mailing Address - Phone:713-436-5010
Mailing Address - Fax:
Practice Address - Street 1:13204 INDIGO CREEK LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2548
Practice Address - Country:US
Practice Address - Phone:340-800-1613
Practice Address - Fax:832-288-2802
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102549235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist