Provider Demographics
NPI:1952777302
Name:WILLIAMS, DEANNA (SLPA)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 COMMONS CIR
Mailing Address - Street 2:STE B
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-9527
Mailing Address - Country:US
Mailing Address - Phone:405-324-0961
Mailing Address - Fax:405-324-0971
Practice Address - Street 1:1809 COMMONS CIR
Practice Address - Street 2:STE B
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-9527
Practice Address - Country:US
Practice Address - Phone:405-324-0961
Practice Address - Fax:405-324-0971
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK822355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant