Individual
SHARON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SP
Contact information
Practice address
3410 FUTURES DRIVE, SOUTH SIOUX CITY, NE 68776
(402) 412-4271
(402) 412-4296
Mailing address
3410 FUTURES DRIVE, SOUTH SIOUX CITY, NE 68776
(402) 412-4271
(402) 412-4296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1165
IA
235Z00000X
Speech-Language Pathologist
Primary
777
NE
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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