Individual
MARY DANIEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 BUSINESS PARK CIR STE 400, GOODLETTSVILLE, TN 37072-3185
(615) 855-2285
Mailing address
3000 BUSINESS PARK CIR STE 400, GOODLETTSVILLE, TN 37072-3185
(615) 855-2285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5999
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14110886
AMERICAN SPEECH HEARING ASSOCIATION
TN
01
—
5999
TENNESSEE BOARD OF HEALTH
TN
Enumeration date
12/04/2017
Last updated
12/04/2017
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