Provider Demographics
NPI:1649871955
Name:WILLIAMS, CHIKINA ATOYA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHIKINA
Middle Name:ATOYA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 ELYSE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-4407
Mailing Address - Country:US
Mailing Address - Phone:954-655-2283
Mailing Address - Fax:
Practice Address - Street 1:2775 CRUSE RD STE 2002
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7147
Practice Address - Country:US
Practice Address - Phone:707-289-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP009641235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist