Individual
SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CFY-SLP
Contact information
Practice address
2455 N WOODLAWN BLVD, WICHITA, KS 67220-3996
(260) 445-8987
Mailing address
2455 N WOODLAWN BLVD, WICHITA, KS 67220-3996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3030
KS
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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