Individual
MISS MARCELLA YUVONNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
2248 AVERILL DR, CHESAPEAKE, VA 23323-6824
(757) 558-8923
(757) 558-4486
Mailing address
2248 AVERILL DR, CHESAPEAKE, VA 23323-6824
(757) 494-7600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000241
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203000241
—
VA
Enumeration date
05/07/2018
Last updated
05/07/2018
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