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NPI Code Detail

MEDICARE: MRS. ERIN SMITH MA, CCC-SLP

MEDICARE: MRS. ERIN SMITH MA, 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 Pathologist7984OH

General Provider Information

NPI Number : 1215336102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN SMITH MA, CCC-SLP
Provider Business Mailing Address
First Line : 621 MOUNT VERNON RD
Second Line :
City : NEWARK
State : OH
Zip : 43055-4615
Country : US
Telephone Number : 740-670-7090
Fax Number :
Provider Business Practice Location Address
First Line : 621 MOUNT VERNON RD
Second Line :
City : NEWARK
State : OH
Zip : 43055-4615
Country : US
Telephone Number : 740-670-7090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2014
Last Update Date : 08/18/2014

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Directions to “ MRS. ERIN SMITH MA, CCC-SLP” Practice Location

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