Provider Demographics
NPI:1750960993
Name:KIRSTEN MCWILLIAMS-DOCTOR OF AUDIOLOGY, INC.
Entity type:Organization
Organization Name:KIRSTEN MCWILLIAMS-DOCTOR OF AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCWILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:530-604-0736
Mailing Address - Street 1:725 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6708
Mailing Address - Country:US
Mailing Address - Phone:916-646-2471
Mailing Address - Fax:916-646-2472
Practice Address - Street 1:725 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6708
Practice Address - Country:US
Practice Address - Phone:916-646-2471
Practice Address - Fax:916-646-2472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty