Individual
MRS. DEANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
2685 EXECUTIVE PARK DR, WESTON, FL 33331-3651
(954) 515-0892
Mailing address
6511 SW 42ND ST, MIAMI, FL 33155-5115
(843) 206-4098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14717
FL
Other
Enumeration date
09/30/2014
Last updated
10/24/2019
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