Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
11850 NICHOLAS ST STE 200, OMAHA, NE 68154
(402) 577-0496
(402) 933-4905
Mailing address
2506 S 127TH CIR, OMAHA, NE 68144-2603
(402) 238-6908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
839
NE
Other
Enumeration date
05/23/2007
Last updated
02/22/2019
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