Molly Renee Williamson, SLP-A

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

656 Issued in CA

Practice address

1516 Sarkesian Dr
Petaluma, CA 94954

Phone

(707) 338-5841

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1417364142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MILITARY E",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102810",
            "telephone_number": "707-338-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SARKESIAN DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-338-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MOLLY",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Alan Williams
• Krysta Williams, NP
• Lauren Williams, PA-C
• Tara Williams
• Victoria Lorraine Williams, DO
• Wilmar Union School District
• Josh Wilson, BS
• Melissa Beth Wilson, M.SC., L.AC., DIPL.
• Windsor Care Center of Petaluma LLC
• Linda Winter, PH.D.

• Speech-Language Pathologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.