Doctor Name: | MS. TRACY F SMITH |
NPI Number: | 1104087642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCCSLP |
License Number: | SL007112 |
Business Practice Address: | 600 Schoolhouse Rd Danville, PA - 17821 |
Business Phone Number: | 5702756100 |
Business Fax Number: | 5702757267 |
Mailing Address: | 1386 Old Freeport Road, Suite 3b PITTSBURG |
State: | PA |
Postal Code: | 15238 |
Phone Number: | 8887342202 |
Fax Number: | 8882936854 |
NPI Enumeration Date: | 06/18/2008 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |