Individual
MR. JAMES ELLIS WILLIAMS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
527 MEMORIAL DR, POCATELLO, ID 83201-4063
(801) 419-8096
Mailing address
1690 CALICO CIR, POCATELLO, ID 83201-7122
(801) 419-8096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3499
ID
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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