Doctor Name: | MRS. HEATHER RUTLEDGE SMITH |
NPI Number: | 1467769133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.C.D. CCC-SLP |
License Number: | SLP006624 |
Business Practice Address: | 25 Roswell Trl Richmond Hill, GA - 313249346 |
Business Phone Number: | 6784679294 |
Business Fax Number: | |
Mailing Address: | 25 Roswell Trl, RICHMOND HILL |
State: | GA |
Postal Code: | 313249346 |
Phone Number: | 6784679294 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |