Individual
MRS. MISTY BROOKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
206 CLEVELAND ST, STAR CITY, AR 71667-5218
(870) 628-5111
Mailing address
1192 PARKER LOOP, RISON, AR 71665-9191
(870) 357-2384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8213
AR
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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