Individual
MRS. CHRYSTAL INGRAM WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1555 HWY 56, UNIT 4, CREEDMOOR, NC 27522-8296
(919) 528-4474
(919) 528-4478
Mailing address
PO BOX 244, BUTNER, NC 27509-0244
(919) 528-4474
(919) 528-4478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141NC
BLUE CROSS BLUE SHIELD
NC
05
—
7412426
—
NC
Enumeration date
01/31/2007
Last updated
07/09/2007
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