Provider Demographics
NPI:1457754194
Name:WILLIAMS, CLAUDETTE YVONNE
Entity Type:Individual
Prefix:MS
First Name:CLAUDETTE
Middle Name:YVONNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CLAUDETTE
Other - Middle Name:YVONNE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH/LANG PATH
Mailing Address - Street 1:59315 CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9794
Mailing Address - Country:US
Mailing Address - Phone:740-432-8841
Mailing Address - Fax:
Practice Address - Street 1:160 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3518
Practice Address - Country:US
Practice Address - Phone:740-454-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 6537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist