| Doctor Name: | DR. BONNIE SMITH |
| NPI Number: | 1831290576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, CCC-SLP |
| License Number: | 146-001977 |
| Business Practice Address: | 4122 Library St Port Charlotte, FL - 339482275 |
| Business Phone Number: | 9417691026 |
| Business Fax Number: | 9417646869 |
| Mailing Address: | Po Box 380513, MURDOCK |
| State: | FL |
| Postal Code: | 339380513 |
| Phone Number: | 9417691026 |
| Fax Number: | 9417646869 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146-001977 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |