Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
188 JONES AVE, PORTSMOUTH, NH 03801-5516
(603) 431-2530
Mailing address
33 DWINELL DR, CONCORD, NH 03301-2513
(603) 321-2693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1533
NH
235Z00000X
Speech-Language Pathologist
SL011568
PA
Other
Enumeration date
10/17/2012
Last updated
07/22/2014
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