Doctor Name: | CAROLINE SMITH |
NPI Number: | 1265864367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5293 |
Business Practice Address: | 2400 Winchester Pl Suite 102 Spartanburg, SC - 29301 |
Business Phone Number: | 8645767188 |
Business Fax Number: | 8645768909 |
Mailing Address: | 519 Poplar St, SPARTANBURG |
State: | SC |
Postal Code: | 293022738 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/31/2013 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |