Provider Demographics
NPI:1982070637
Name:WILLIAMS, DIANNE RENEE
Entity Type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:RENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANNE
Other - Middle Name:R
Other - Last Name:WEEMS-WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2723 PRAIRIE ACRES CV
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8241
Mailing Address - Country:US
Mailing Address - Phone:214-542-0666
Mailing Address - Fax:
Practice Address - Street 1:2723 PRAIRIE ACRES CV
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-8241
Practice Address - Country:US
Practice Address - Phone:214-542-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16922235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist