National Provider Identifier
Michelle Lorraine Williamson, MA, CCC-SLP/NYS LIC.
Michelle Lorraine Williamson, MA, CCC-SLP/NYS LIC. is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Holley, NY and a listed phone number of (585) 638-6318.
Profile Overview
- NPI
- 1245514660
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 04, 2011
- Last Updated
- October 04, 2011
Practice Location
- 3800 N Main Street RD
- Holley, NY 14470-9381
Phone: (585) 638-6318
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1245514660
- Entity Type
- Individual
- Last Name
- Williamson
- First Name
- Michelle
- Middle Name
- Lorraine
- Name Prefix
- Mrs.
- Credential
- MA, CCC-SLP/NYS LIC.
- Mailing Street Address
- 3800 N Main Street RD
- Mailing City
- Holley
- Mailing State
- NY
- Mailing ZIP Code
- 14470-9381
- Mailing Country
- US
- Mailing Phone
- (585) 638-6318
- Practice Street Address
- 3800 N Main Street RD
- Practice City
- Holley
- Practice State
- NY
- Practice ZIP Code
- 14470-9381
- Practice Country
- US
- Practice Phone
- (585) 638-6318
- Enumeration Date
- October 04, 2011
- Last Updated
- October 04, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 01085690 (NY, Asha Certification), 007199-1 (NY, Nys Speech-Language Pathologist License)