Individual
LAKEYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
240 W PASSAIC ST STE 3, MAYWOOD, NJ 07607-1264
(973) 979-2331
Mailing address
346 DUVIER PL, MAYWOOD, NJ 07607-1111
(973) 979-2331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015836-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00328200
NJ
Other
Enumeration date
10/30/2008
Last updated
11/11/2022
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