| Doctor Name: | MRS. SUZANNE KENNEDY SMITH |
| NPI Number: | 1831407766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 3995 |
| Business Practice Address: | 1000 Mar Walt Dr Fort Walton Beach, FL - 325476708 |
| Business Phone Number: | 8508621111 |
| Business Fax Number: | |
| Mailing Address: | 1704 Cartier Pl, FORT WALTON BEACH |
| State: | FL |
| Postal Code: | 325475730 |
| Phone Number: | 8503763827 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3995 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| 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 |