Doctor Name: | MS. KENDRA SMITH |
NPI Number: | 1093191934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.-SLP (CF) |
License Number: | |
Business Practice Address: | 4001 Capital Mall Dr Sw Olympia, WA - 985028657 |
Business Phone Number: | 3607549792 |
Business Fax Number: | |
Mailing Address: | 724 13th Ave Se Apt 301, OLYMPIA |
State: | WA |
Postal Code: | 985017300 |
Phone Number: | 7037957201 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2015 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |