Doctor Name: | JAMIE SMOTHERS |
NPI Number: | 1003093741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 3534 |
Business Practice Address: | 2030 Chilhowee Medical Park Maryville, TN - 378045285 |
Business Phone Number: | 8659823400 |
Business Fax Number: | 8659823410 |
Mailing Address: | Po Box 5209, MARYVILLE |
State: | TN |
Postal Code: | 378025209 |
Phone Number: | 8659823400 |
Fax Number: | 8659823410 |
NPI Enumeration Date: | 01/24/2008 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |