Individual
KRISTIN SUZANNE SMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS OF SCIENCE
Contact information
Practice address
21334 N 64TH AVE, GLENDALE, AZ 85308-6422
(623) 266-1004
Mailing address
21334 N 64TH AVE, GLENDALE, AZ 85308-6422
(623) 266-1004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1557
AZ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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