Individual
DANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD/CCC-SLP
Contact information
Practice address
1950 E 70TH ST STE A, SHREVEPORT, LA 71105-5345
(318) 219-6064
(318) 219-7928
Mailing address
1950 E 70TH ST STE A, SHREVEPORT, LA 71105-5345
(337) 718-3404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6710
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2348612
—
LA
Enumeration date
11/02/2013
Last updated
01/29/2022
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