Provider Demographics
NPI:1205662780
Name:WILLIAMS, MEGAN (SLPA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 MURWICK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-6210
Mailing Address - Country:US
Mailing Address - Phone:972-979-8473
Mailing Address - Fax:
Practice Address - Street 1:6325 91ST ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-2875
Practice Address - Country:US
Practice Address - Phone:360-965-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASP614956532355S0801X
TX412322355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant