Individual
MR. LEIF SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFY - SLP
Contact information
Practice address
1401 PHAY AVE, CANON CITY, CO 81212-2303
(719) 458-1353
Mailing address
2405 N 10TH ST, CANON CITY, CO 81212-2200
(806) 200-2334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/20/2015
Last updated
06/20/2015
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