Individual
BRIANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
(630) 488-2253
Mailing address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
(630) 488-2253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.015810
IL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/05/2023
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