| Doctor Name: | JUDY M SMITH |
| NPI Number: | 1447495742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2202002111 |
| Business Practice Address: | 44035 Riverside Pkwy Suite 500a Leesburg, VA - 201768260 |
| Business Phone Number: | 7038586667 |
| Business Fax Number: | 7038586665 |
| Mailing Address: | 9900 Main St, Suite 200a FAIRFAX |
| State: | VA |
| Postal Code: | 220313907 |
| Phone Number: | 7032794249 |
| Fax Number: | 7032794271 |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 12/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202002111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |