Individual
MS. MAE LYNN SMITHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11517 KANIS RD, LITTLE ROCK, AR 72211-3724
(501) 993-7171
Mailing address
100 PLATEAU ST, NORTH LITTLE ROCK, AR 72116-9315
(501) 831-5386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1403
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135854721
—
AR
Enumeration date
10/07/2008
Last updated
10/07/2008
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