Provider Demographics
NPI:1831250323
Name:WILLIAMS, CANDICE MORJAN (MED)
Entity type:Individual
Prefix:MS
First Name:CANDICE
Middle Name:MORJAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 CRESTFORD PARK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6454
Mailing Address - Country:US
Mailing Address - Phone:713-817-7764
Mailing Address - Fax:281-345-4599
Practice Address - Street 1:6003 CRESTFORD PARK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6454
Practice Address - Country:US
Practice Address - Phone:713-817-7764
Practice Address - Fax:281-345-4599
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist