Individual
MISS SHEILA RENAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
295 MOCKINGBIRD ST, BATESVILLE, AR 72501-6615
(870) 698-1529
Mailing address
3245 SHADE TREE DR, BATESVILLE, AR 72501-7832
(870) 612-2472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1473
AR
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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