Doctor Name: | MARIA P SMILO |
NPI Number: | 1659428035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCCSLP |
License Number: | S0784 |
Business Practice Address: | 123 Jefferson Davis Blvd Natchez, MS - 391205103 |
Business Phone Number: | 6014450005 |
Business Fax Number: | 6014450370 |
Mailing Address: | 123 Jefferson Davis Blvd, NATCHEZ |
State: | MS |
Postal Code: | 391205103 |
Phone Number: | 6014450005 |
Fax Number: | 6014450370 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S0784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |