MS. JESSE EDWARDS WILLIAMS, M.S. CFY-SLP - NPI NUMBER 1902033129

Summary

Provider Name: MS. JESSE EDWARDS WILLIAMS, M.S. CFY-SLP

NPI Number: 1902033129

Clasification: Speech-Language Pathologist (235Z00000X)

Address:
1110 PRIM RD
COLCHESTER, VT
ZIP 05446

Phone Number: (802) 860-4481



Detailed Information

MS. Jesse Edwards Williams, M.S. CFY-SLP is a speech-language pathologist in Colchester, VT. The provider is a speech pathologist is a person qualified by a master�s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders. The assigned NPI number for this provider is 1902033129 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1110 PRIM RD
COLCHESTER, VT
ZIP 05446-403
Phone: (802) 860-4481

The enumeration date for this NPI number is 6/15/2009 and was last updated on 11/1/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 235Z00000X Speech-Language Pathologist VT HAS NO NUMBER VT Yes

NPI Record

No. Field Name Field Value
1 NPI 1902033129
2 Entity Type Code 1
3 Provider Last Name Legal Name WILLIAMS
4 Provider First Name JESSE
5 Provider Middle Name EDWARDS
6 Provider Name Prefix Text MS.
7 Provider Credential Text M.S. CFY-SLP
8 Provider First Line Business Practice Location Address 1110 PRIM RD
9 Provider Business Practice Location Address City Name COLCHESTER
10 Provider Business Practice Location Address State Name VT
11 Provider Business Practice Location Address Postal Code 054466403
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8028604481
14 Provider Enumeration Date 6/15/2009
15 Last Update Date 11/1/2012
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 235Z00000X
18 Provider License Number 1 VT HAS NO NUMBER
19 Provider License Number State Code 1 VT
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
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