Doctor Name: | MRS. HOLLY C. SMITH |
NPI Number: | 1013158625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 107 S Gate Dr Ponchatoula, LA - 704549400 |
Business Phone Number: | 9853865107 |
Business Fax Number: | |
Mailing Address: | 107 S Gate Dr, PONCHATOULA |
State: | LA |
Postal Code: | 704549400 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 03/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |