Individual
JAMIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1579 ULUPII ST, KAILUA, HI 96734-4444
(808) 447-9122
(888) 769-9120
Mailing address
1579 ULUPII ST, KAILUA, HI 96734-4444
(808) 447-9122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5335
HI
235Z00000X
Speech-Language Pathologist
Primary
1823
HI
235Z00000X
Speech-Language Pathologist
221622
CA
Other
Enumeration date
10/24/2019
Last updated
07/11/2022
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