Provider Demographics
NPI:1942937289
Name:WILLIAMSON, JENNIFER CHANEY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHANEY
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12303 FAIRHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-5429
Mailing Address - Country:US
Mailing Address - Phone:281-825-1975
Mailing Address - Fax:
Practice Address - Street 1:12303 FAIRHAVEN LN
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5429
Practice Address - Country:US
Practice Address - Phone:281-825-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist