Individual
MS. LYNETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
16455 E AVENUE OF THE FOUNTAINS, FOUNTAIN HILLS, AZ 85268-5528
(480) 836-6883
(480) 836-5209
Mailing address
5311 E HOPI AVE, MESA, AZ 85206-5528
(480) 836-6883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5975
AZ
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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