# MRS. ANN WILLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174619183
- **Gender:** F
- **Credential:** MS,CCCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | A0193 | WV | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 09/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810025124 | — | WV |
| 01 | — | A0193 | STATE LICENSE | WV |