Doctor Name: | CARLA SMITH |
NPI Number: | 1205117702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 13404 |
Business Practice Address: | 1119 Lake Country Dr Seabrook, TX - 775864511 |
Business Phone Number: | 7138516737 |
Business Fax Number: | |
Mailing Address: | 1119 Lake Country Dr, SEABROOK |
State: | TX |
Postal Code: | 775864511 |
Phone Number: | 7138516737 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2011 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |