Doctor Name: | MRS. KELSEY ANNE-JAHR SMITH |
NPI Number: | 1992180913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CF-SLP |
License Number: | 9517 |
Business Practice Address: | 3800 Silver Bell Rd Eagan, MN - 551221653 |
Business Phone Number: | 9527674204 |
Business Fax Number: | |
Mailing Address: | 5710 Baker Rd, MINNETONKA |
State: | MN |
Postal Code: | 553455901 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |