Provider Demographics
NPI:1265771463
Name:WILLIAMS, VALERIE (MS, SLP-INTERN)
Entity type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, SLP-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 HEMPHILL ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4703
Mailing Address - Country:US
Mailing Address - Phone:817-759-7913
Mailing Address - Fax:817-303-9274
Practice Address - Street 1:4443 N JOSEY LN
Practice Address - Street 2:100
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4743
Practice Address - Country:US
Practice Address - Phone:817-759-7913
Practice Address - Fax:817-303-9274
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108574235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist