Individual
SANDRA D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1200 LAKE HEARN DR NE, SUITE 250, ATLANTA, GA 30319
(404) 943-1070
(404) 943-0890
Mailing address
227 CHARITY DR, DOUGLASVILLE, GA 30134-6116
(770) 947-8382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
03951
MD
235Z00000X
Speech-Language Pathologist
109718
TX
235Z00000X
Speech-Language Pathologist
1508
AL
235Z00000X
Speech-Language Pathologist
2202003292
VA
235Z00000X
Speech-Language Pathologist
SA10287
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP004523
GA
235Z00000X
Speech-Language Pathologist
SP15942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052177015
DRIVERS LICENSE
GA
Enumeration date
06/07/2007
Last updated
08/08/2018
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