| Doctor Name: | MRS. CYNTHIA SMITH |
| NPI Number: | 1396916391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A, CCC-SLP |
| License Number: | SA9126 |
| Business Practice Address: | 228 Ponte Vedra Park Dr Suite 800 Ponte Vedra Beach, FL - 320826613 |
| Business Phone Number: | 9042800081 |
| Business Fax Number: | 9042807680 |
| Mailing Address: | 228 Ponte Vedra Park Dr, Suite 800 PONTE VEDRA BEACH |
| State: | FL |
| Postal Code: | 320826613 |
| Phone Number: | 9042800081 |
| Fax Number: | 9042807680 |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA9126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |