| Doctor Name: | MRS. JULIANNE KELLEY SMITH |
| NPI Number: | 1861773962 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | 004392 |
| Business Practice Address: | 225 Hopmeadow St Suite 500 Weatogue, CT - 060899782 |
| Business Phone Number: | 8603217230 |
| Business Fax Number: | |
| Mailing Address: | 129 Brentwood Rd, NEWINGTON |
| State: | CT |
| Postal Code: | 061112512 |
| Phone Number: | 8607967354 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 09/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 004392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| 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 |