Individual
THERESA RENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-6805
(757) 648-3840
Mailing address
14702 DAWN VALE DR, HOUSTON, TX 77062-2106
(713) 560-3793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
115663
TX
235Z00000X
Speech-Language Pathologist
172386
AK
235Z00000X
Speech-Language Pathologist
Primary
2202009090
VA
235Z00000X
Speech-Language Pathologist
35605
CA
Other
Enumeration date
11/07/2018
Last updated
07/18/2025
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