Individual
DANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42211 N 41ST DR STE 145, ANTHEM, AZ 85086
(602) 808-9912
Mailing address
15255 N 61ST DR, GLENDALE, AZ 85306-3281
(602) 561-0839
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP10280
AZ
Other
Enumeration date
09/08/2016
Last updated
06/18/2018
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