Individual
SUZANNE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.W., I.T.D.S.
Contact information
Practice address
10525 HILLTOP DR, NEW PORT RICHEY, FL 34654-2503
(727) 857-4752
Mailing address
10525 HILLTOP DR, NEW PORT RICHEY, FL 34654-5038
(727) 857-4752
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8118451 00
—
FL
Enumeration date
02/09/2007
Last updated
09/17/2019
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