Individual
MRS. THERESA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
324 BELOIT ST, DELAVAN, WI 53115-1606
(262) 233-6753
Mailing address
128 S MAPLE LN, WHITEWATER, WI 53190-3872
(920) 728-1746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3302-154
WI
Other
Enumeration date
09/28/2009
Last updated
06/05/2026
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