| Doctor Name: | ELLIE C SMITH |
| NPI Number: | 1639371685 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 2202005245 |
| Business Practice Address: | 1997 S Main St Suite 601 Blacksburg, VA - 240606635 |
| Business Phone Number: | 5409611230 |
| Business Fax Number: | 5409510613 |
| Mailing Address: | 1997 S Main St, Suite 601 BLACKSBURG |
| State: | VA |
| Postal Code: | 240606635 |
| Phone Number: | 5409611230 |
| Fax Number: | 5409510613 |
| NPI Enumeration Date: | 06/01/2007 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202005245 |
| 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 |