Provider Demographics
NPI:1740677947
Name:WILLIAMS, CAMERAN (SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:CAMERAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 COLLINWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-2702
Mailing Address - Country:US
Mailing Address - Phone:334-524-0909
Mailing Address - Fax:
Practice Address - Street 1:1104 COLLINWOOD ST
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-2702
Practice Address - Country:US
Practice Address - Phone:334-524-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3682235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist