Individual
NICOLE D WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
2402 TWIN EAGLES DR, GRANGER, IA 50109-9629
(515) 999-9700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01456
IA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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