DR. DIANE VENNESSA DAVIS-WILLIAMS (NPI# 1053519090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053519090 |
| Entity Type | Individual |
| Full Name | DR. DIANE VENNESSA DAVIS-WILLIAMS |
| Credential | CCC-SLP |
| Practice Address |
4747 Lincoln Mall Dr Suite #302 Matteson IL 60443-3811 |
| Practice Telephone | 7086790680 |
| Practice Fax Number | 7086790683 |
| Mailing Telephone | 7086790680 |
| Mailing Fax Number | 7086790683 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
| Street Address |
4747 LINCOLN MALL DR SUITE #302 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790795805 | Bnm Professional Consulting Services, Inc. | Physical Therapist | 4747 Lincoln Mall Dr, Suite #302, Matteson, IL 60443-3811 | 2006-08-09 |
| 1669012910 | Olufemi Matimoju | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2020-01-14 |
| 1285277905 | Shaneika Tolliver | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-10-25 |
| 1013574458 | Angela Maria Cunningham | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-05-21 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1366901290 | Amanda Briick | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-19 |
| 1790239291 | Ollie Owens | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
| 1518411016 | Brittany Lampkin | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
| 1255885752 | Shanna Walker | Counselor | 4747 Lincoln Mall Dr, 601, Matteson, IL 60443-3811 | 2016-08-12 |
| 1386028835 | The Dubois Douglas Centres | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4747 Lincoln Mall Dr, Suite 301, Matteson, IL 60443-3811 | 2015-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669971081 | Nora J Clisham | Speech-Language Pathologist | 6131 Allemong Dr, Matteson, IL 60443-1061 | 2018-02-12 |
| 1306183728 | Carla Moore | Speech-Language Pathologist | 52 Treehouse Rd, Matteson, IL 60443-1262 | 2013-01-04 |
| 1629349493 | Katelyn Bruni | Speech-Language Pathologist | 3509 W. 212th Pl., Matteson, IL 60443-2505 | 2012-01-25 |
| 1558517920 | Kara Antionette Mitchell-mills | Speech-Language Pathologist | 4527 Lindenwood Dr, Matteson, IL 60443-1834 | 2008-08-17 |
| 1871715763 | Marquetta Terry | Speech-Language Pathologist | 4131 Oakwood Lane, Matteson, IL 60443 | 2007-05-02 |
| 1740308816 | Demetria Collins-whitaker | Speech-Language Pathologist | 3718 213th Pl, Matteson, IL 60443-2575 | 2007-03-27 |
| 1043338916 | Remi Sophie Salami | Speech-Language Pathologist | 223 Pheasant Rd, Matteson, IL 60443-1024 | 2007-03-27 |
| 1902923444 | Barbara Maria Butler Meagher | Speech-Language Pathologist | 20320 Crawford Ave, Matteson, IL 60443-1732 | 2007-03-22 |
| 1891956116 | Rebecca Manny | Speech-Language Pathologist | 21020 Kostner Ave, Matteson, IL 60443-2068 | 2008-06-19 |
| 1851577084 | Edith Christine Armstrong | Speech-Language Pathologist | 4747 Lincoln Mall Dr, Suite #302, Matteson, IL 60443-3811 | 2008-01-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.