Jennifer Susan Smith M.A., CCC-SLP

NPI 1336274133 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1336274133
Gender Female
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
450 SOUTHERN BLVD SE
RIO RANCHO NM, 87124-3206, US
Phone (505) 994-3305
Fax
Business Location
6909 AUGUSTA HILLS DR NE
RIO RANCHO NM, 87144-8486, US
Phone (505) 994-3305
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New Mexico
License Number 2086
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According to our database, Mrs. Jennifer Susan Smith M.A., CCC-SLP NPI is 1336274133, taxonomy code is 235Z00000X and license number is 2086, license state is located at New Mexico. Jennifer Susan Smith M.A., CCC-SLP physically located at 450 Southern Blvd Se, Rio Rancho NM, 87124-3206. NPI Number Jennifer Susan Smith M.A., CCC-SLP has the Individual type.

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1336274133 NPI number is provided on an as is basis without warranty of any kind. 1336274133 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Susan Smith M.A., CCC-SLP are for informational purposes only.