Individual
COLLEEN K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-A
Contact information
Practice address
1050 ISAAC STREETS DR, SUITE 137, OREGON, OH 43616-3291
(419) 698-4505
(419) 698-3806
Mailing address
1050 ISAAC STREETS DR, SUITE 137, OREGON, OH 43616-3291
(419) 698-4505
(419) 698-3806
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A. 00703
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102633
—
OH
Enumeration date
08/24/2009
Last updated
12/18/2014
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