Doctor Name: | JANE ELIZABETH SMITH |
NPI Number: | 1295011468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | LL00003524 |
Business Practice Address: | 140 E Main St Othello, WA - 993441040 |
Business Phone Number: | 5094885256 |
Business Fax Number: | 5094889939 |
Mailing Address: | 140 E Main St, OTHELLO |
State: | WA |
Postal Code: | 993441040 |
Phone Number: | 5094885256 |
Fax Number: | 5094889939 |
NPI Enumeration Date: | 11/01/2011 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003524 |
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 |