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NPI Code Detail

MEDICARE: MARY FIONA HENDRY SMITH

MEDICARE: MARY FIONA HENDRY SMITH
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 Pathologist9207LA

General Provider Information

NPI Number : 1255938387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY FIONA HENDRY SMITH
Provider Business Mailing Address
First Line : 1714 WOLF CIR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-2353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1714 WOLF CIR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-2353
Country : US
Telephone Number : 337-508-2505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 12/08/2022

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Directions to “ MARY FIONA HENDRY SMITH ” Practice Location

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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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