Individual
LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 SPRINGLAND LN, NORTH MYRTLE BEACH, SC 29582-2632
(843) 249-1089
Mailing address
1102 SPRINGLAND LN, NORTH MYRTLE BEACH, SC 29582-2632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3481
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0496
—
SC
Enumeration date
12/19/2006
Last updated
07/08/2007
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