Individual
JAYME SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6405 BOYDTON PLANK RD, PETERSBURG, VA 23803-7401
(804) 861-1324
(804) 861-2576
Mailing address
6405 BOYDTON PLANK RD, PETERSBURG, VA 23803-7401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006454
VA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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