Individual
DIANA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC,SLP
Contact information
Practice address
184 OPAL AVE, REDWOOD CITY, CA 94062-2140
(650) 759-8213
Mailing address
184 OPAL AVE, REDWOOD CITY, CA 94062-2140
(650) 759-8213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7405
CA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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