Theresa Marie Smith M.S.

NPI 1275867020 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1275867020
Gender Female
Enumeration Date 09/28/2009
Last Updated 09/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
620 SCHOENHAAR DR
WEST BEND WI, 53090-2649, US
Phone (262) 306-8450
Fax (262) 306-8451
Business Location
745 MAIN ST APT 7
KEWASKUM WI, 53040-9275, US
Phone (262) 337-3328
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 3302-154
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According to our database, Mrs. Theresa Marie Smith M.S. NPI is 1275867020, taxonomy code is 235Z00000X and license number is 3302-154, license state is located at Wisconsin. Theresa Marie Smith M.S. physically located at 620 Schoenhaar Dr, West Bend WI, 53090-2649. NPI Number Theresa Marie Smith M.S. has the Individual type.

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1275867020 NPI number is provided on an as is basis without warranty of any kind. 1275867020 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Marie Smith M.S. are for informational purposes only.