Individual
KELLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-1726
Mailing address
1544 W HORSESHOE BEND DR, ROCHESTER HILLS, MI 48306-4146
(804) 317-5442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002962
MI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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