| Doctor Name: | CARRIE MICHELLE SMITH |
| NPI Number: | 1285799064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC SLP |
| License Number: | |
| Business Practice Address: | 9649 W 55th Street Countryside, IL - 60525 |
| Business Phone Number: | 7083523580 |
| Business Fax Number: | 7083522715 |
| Mailing Address: | 6450 S New England, Apt 1c CHICAGO |
| State: | IL |
| Postal Code: | 60638 |
| Phone Number: | 7738581250 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| 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 |