Doctor Name: | DONNA MARIE SMITH |
NPI Number: | 1013068196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 102068 |
Business Practice Address: | 101 Watermere Dr Southlake, TX - 760928116 |
Business Phone Number: | 8006771238 |
Business Fax Number: | |
Mailing Address: | 421 Live Oak Dr, COLLEYVILLE |
State: | TX |
Postal Code: | 760343256 |
Phone Number: | 9728419367 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |