Individual
MRS. JESSICA JEANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4561 WESTLAKE CT., BEL AIRE, KS 67220
(316) 304-5303
(316) 634-8850
Mailing address
4561 WESTLAKE CT., BEL AIRE, KS 67220
(316) 304-5303
(316) 634-8850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3792
KS
235Z00000X
Speech-Language Pathologist
K01754066
KS
Other
Enumeration date
05/15/2014
Last updated
11/25/2020
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