Individual
TYLARR M.D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
156 FAIR HILLS LOOP, COLUMBIA, SC 29209-3082
(803) 312-5234
Mailing address
156 FAIR HILLS LOOP, COLUMBIA, SC 29209-3082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14129127
SC
Other
Enumeration date
07/09/2020
Last updated
07/28/2020
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