Doctor Name: | SHARON SMITH |
NPI Number: | 1083645600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC-SP |
License Number: | 1165 |
Business Practice Address: | 3410 Futures Drive South Sioux City, NE - 68776 |
Business Phone Number: | 4024124271 |
Business Fax Number: | 4024124296 |
Mailing Address: | 3410 Futures Drive, SOUTH SIOUX CITY |
State: | NE |
Postal Code: | 68776 |
Phone Number: | 4024124271 |
Fax Number: | 4024124296 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1165 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
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 |