Doctor Name: | MRS. DIANE ELIZABETH SMITH |
NPI Number: | 1417101072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP/L |
License Number: | 009080-1 |
Business Practice Address: | 68 Canfield Rd Ticonderoga, NY - 128833944 |
Business Phone Number: | 5185857893 |
Business Fax Number: | |
Mailing Address: | 68 Canfield Rd., TICONDEROGA |
State: | NY |
Postal Code: | 12883 |
Phone Number: | 5185857893 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2008 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 009080-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |