Organization
KID PRO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ELIZABETH SMITH MS, CCC-SLP (OWNER/SLP)
(972) 755-9157
Entity
Organization
Contact information
Practice address
6510 ABRAMS RD STE 315, DALLAS, TX 75231-7280
(972) 755-9157
Mailing address
6510 ABRAMS RD STE 315, DALLAS, TX 75231-7280
(972) 755-9157
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114244
TX SLP LICENSE
TX
Enumeration date
03/05/2019
Last updated
12/05/2022
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