Individual
MR. CODY WADE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
4747 ALBEN BARKLEY DR, PADUCAH, KY 42001-6789
(270) 444-9661
Mailing address
133 HILLCREST DR, BARDWELL, KY 42023-8574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
173513
KY
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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