Doctor Name: | CHRISTIANNE SMITH |
NPI Number: | 1124342472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TSSLD |
License Number: | 2130184 |
Business Practice Address: | 3049 E Genesee St Syracuse, NY - 132241699 |
Business Phone Number: | 3154454010 |
Business Fax Number: | |
Mailing Address: | 3049 E Genesee St, SYRACUSE |
State: | NY |
Postal Code: | 132241699 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/16/2010 |
NPI Last Update Date: | 03/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2130184 |
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 |