Individual
MRS. HEATHER RENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
1017 PLUM RIDGE DR, SELLERSBURG, IN 47172-9088
(812) 207-9338
Mailing address
1017 PLUM RIDGE DR, SELLERSBURG, IN 47172-9088
(812) 207-9338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005995A
IN
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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