| Doctor Name: | MRS. ANGELA RENEE SMITH |
| NPI Number: | 1295981462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SL004861L |
| Business Practice Address: | 5225 Wilson Ln Mechanicsburg, PA - 170556663 |
| Business Phone Number: | 7175918063 |
| Business Fax Number: | 7176976576 |
| Mailing Address: | 646 Old Quaker Rd, LEWISBERRY |
| State: | PA |
| Postal Code: | 173399705 |
| Phone Number: | 7179321975 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2008 |
| NPI Last Update Date: | 08/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004861L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |