Individual
MRS. KATIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L-SLP, CCC-SLP
Contact information
Practice address
4488 ROLLINS RD, ZACHARY, LA 70791-3194
(225) 658-1940
Mailing address
25326 DENNIS CT, JACKSON, LA 70748-4359
(225) 658-1940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5886
LA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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