Individual
MRS. AMY JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.C.C.C.A.
Contact information
Practice address
500 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4439
(812) 237-0099
(812) 237-0097
Mailing address
1833 N KINSER PIKE, BLOOMINGTON, IN 47404-1914
(128) 222-8928
(128) 222-8948
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147.000594
IL
231H00000X
Audiologist
Primary
23002649A
IN
237700000X
Hearing Instrument Specialist
03296
OH
237700000X
Hearing Instrument Specialist
17001269A
IN
237700000X
Hearing Instrument Specialist
17001441A
IN
237700000X
Hearing Instrument Specialist
23002476A
IN
Other
Enumeration date
08/11/2008
Last updated
10/06/2020
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