Doctor Name: | AMY LEE SMITH |
NPI Number: | 1093946964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | LL60101636 |
Business Practice Address: | 710 Nw Juniper St Suite 108 Issaquah, WA - 980272717 |
Business Phone Number: | 4253924965 |
Business Fax Number: | 4253912555 |
Mailing Address: | 710 Nw Juniper St, Suite 108 ISSAQUAH |
State: | WA |
Postal Code: | 980272717 |
Phone Number: | 4253924965 |
Fax Number: | 4253912555 |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60101636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |