Doctor Name: | MRS. CHRISTINA MARIA SMITH |
NPI Number: | 1164797478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 7448 |
Business Practice Address: | 18726 S Western Ave Gardena, CA - 902483813 |
Business Phone Number: | 3103526405 |
Business Fax Number: | |
Mailing Address: | 13135 Sunnybrook Cir Unit 102, GARDEN GROVE |
State: | CA |
Postal Code: | 928441282 |
Phone Number: | 7143964749 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2012 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |