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NPI Code Detail

MEDICARE: MICHELLE DAWN SMITH

MEDICARE: MICHELLE DAWN 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
1174400000XSpecialist
2235Z00000XSpeech-Language PathologistLL61609947WA

General Provider Information

NPI Number : 1902159585
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DAWN SMITH
Provider Business Mailing Address
First Line : 1320 178TH AVE E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6411
Country : US
Telephone Number : 253-862-2537
Fax Number :
Provider Business Practice Location Address
First Line : 1320 178TH AVE E
Second Line :
City : LAKE TAPPS
State : WA
Zip : 98391-6411
Country : US
Telephone Number : 253-862-2537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2012
Last Update Date : 03/07/2025

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Directions to “ MICHELLE DAWN SMITH ” 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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