Individual
MS. ROBERTA LEIGH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4900 LOS PINOS DRIVE HWY 15, PINO ALTOS, NM 88053
(505) 534-1199
Mailing address
PO BOX 1797, SILVER CITY, NM 88062-1797
(505) 534-1199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3430
NM
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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