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Individual

BRITTNEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
63 E MAIN ST STE 101, MESA, AZ 85201-7422
(480) 472-0000
Mailing address
2604 E PAGE AVE, GILBERT, AZ 85234-6311

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PSLP.0000481
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP12344
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14338018
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
Enumeration date
04/24/2019
Last updated
07/28/2020
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