| Doctor Name: | MRS. SUZANNE D. SMITH |
| NPI Number: | 1083997522 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 011476-1 |
| Business Practice Address: | 9579 Vocational Dr Painted Post, NY - 148709043 |
| Business Phone Number: | 6079623175 |
| Business Fax Number: | |
| Mailing Address: | 9579 Vocational Drive, Coopers Campus PAINTED POST |
| State: | NY |
| Postal Code: | 14870 |
| Phone Number: | 6077766788 |
| Fax Number: | 6076542304 |
| NPI Enumeration Date: | 09/21/2011 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 10/31/2011 |
| NPI Reactivation Date: | 10/23/2013 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 011476-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |