Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6309
(815) 599-6384
Mailing address
PO BOX 857, FREEPORT, IL 61032-0857
(815) 599-7950
(815) 599-7974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013183
IL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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