Doctor Name: | KRISTIE ANN SMITH |
NPI Number: | 1407087364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH LANGUAGE PATH |
License Number: | SL009628 |
Business Practice Address: | 500 Brouwers Dr Latrobe, PA - 156502500 |
Business Phone Number: | 7245376149 |
Business Fax Number: | 7245376156 |
Mailing Address: | Green Meadows At Latrobe, 500 Brouwers Rd. LATROBE |
State: | PA |
Postal Code: | 15650 |
Phone Number: | 7245376149 |
Fax Number: | 7245376156 |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009628 |
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 |