Individual
MS. IVONNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 ORD ST NE, WASHINGTON, DC 20019-1959
(202) 445-8388
Mailing address
4305 ORD ST NE, WASHINGTON, DC 20019-1959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06053
MD
235Z00000X
Speech-Language Pathologist
SLP000411
DC
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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