Individual
MRS. CHRISTINE A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2323 S LEE ST, PHILADELPHIA, PA 19148-4102
(601) 879-4757
Mailing address
2323 S LEE ST, PHILADELPHIA, PA 19148-4102
(267) 254-4886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009449
PA
Other
Enumeration date
04/22/2009
Last updated
09/03/2014
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