Doctor Name: | CARRIE JANE SMIGELSKI |
NPI Number: | 1144464181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, CCC-SLP |
License Number: | SI60024943 |
Business Practice Address: | 8514 W Gage Blvd Kennewick, WA - 993368120 |
Business Phone Number: | 5097356442 |
Business Fax Number: | |
Mailing Address: | 8514 W Gage Blvd, KENNEWICK |
State: | WA |
Postal Code: | 993368120 |
Phone Number: | 5097356442 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2009 |
NPI Last Update Date: | 04/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SI60024943 |
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 |