Individual
AMY BETH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 N CARPENTER RD, TITUSVILLE, FL 32796-2273
(321) 403-8709
Mailing address
730 N CARPENTER RD, TITUSVILLE, FL 32796-2273
(321) 403-8709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821300
—
FL
Enumeration date
04/29/2009
Last updated
12/31/2012
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