Individual
SHELLEY ANN SMITHDEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2860
(423) 928-6464
Mailing address
1236 RIVERVIEW DR, ELIZABETHTON, TN 37643-5344
(423) 737-5185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9551
TN
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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