Individual
DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
(512) 399-0064
Mailing address
1259 ECKLIN DR, CORDOVA, TN 38016-0414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
10/03/2023
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