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NPI Code Detail

MEDICARE: NOELLE SMITH M.S., CCC-SLP

MEDICARE: NOELLE SMITH M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202007747VA

General Provider Information

NPI Number : 1811423049
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE SMITH M.S., CCC-SLP
Provider Business Mailing Address
First Line : 6050 22ND RD N
Second Line :
City : ARLINGTON
State : VA
Zip : 22205-3410
Country : US
Telephone Number : 717-364-6274
Fax Number :
Provider Business Practice Location Address
First Line : 5695 KING CENTRE DR STE 100
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22315-5745
Country : US
Telephone Number : 540-720-2261
Fax Number : 540-720-5660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2017
Last Update Date : 05/09/2017

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Directions to “ NOELLE SMITH M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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