Individual
MS. KAITLIN ALEXIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A. SLPA
Contact information
Practice address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Mailing address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI5185
DEPARTMENT OF HEALTH
FL
Enumeration date
03/10/2022
Last updated
03/10/2022
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