NPI 1063077634
James Ellis Williams, MSCCCSLP
Practice location
- Address
- 527 Memorial Dr, Pocatello, ID 83201-4063
- Phone
- (801) 419-8096
- Mailing address
- 1690 Calico Cir, Pocatello, ID 83201-7122
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063077634
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 May 2019
- Record last updated
- 8 May 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.