Basic Information
| Provider Information | |||||||||
| NPI: | 1710359500 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | SHERYL | ||||||||
| MiddleName: | LYNNE | ||||||||
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| Credential: | MS, CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | P. O. DRAWER PH | ||||||||
| Address2: | CHINLE COMPREHENSIVE HEALTHCARE FACILITY | ||||||||
| City: | CHINLE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 86503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9286747716 | ||||||||
| FaxNumber: | 9286747705 | ||||||||
| Practice Location | |||||||||
| Address1: | HWY 191 AND HOSPITAL DR. | ||||||||
| Address2: | CHINLE HOSPITAL | ||||||||
| City: | CHINLE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 86503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9286747096 | ||||||||
| FaxNumber: | 9286747627 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2015 | ||||||||
| LastUpdateDate: | 11/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | A.01461 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.