Individual
MRS. DEBRA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
9047 EXECUTIVE PARK DR, SUITE 115, KNOXVILLE, TN 37923-4605
(865) 539-1928
(865) 539-6461
Mailing address
9047 EXECUTIVE PARK DR, SUITE 115, KNOXVILLE, TN 37923-4605
(865) 539-1928
(865) 539-6461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000941718A
—
GA
Enumeration date
11/30/2006
Last updated
02/25/2010
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