Individual
AMY FRANCES SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
27045 TIDAL WAY, TEGA CAY, SC 29708-7314
(864) 723-1011
Mailing address
27045 TIDAL WAY, TEGA CAY, SC 29708-7314
(864) 723-1011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
117147
TX
235Z00000X
Speech-Language Pathologist
Primary
2118
SC
235Z00000X
Speech-Language Pathologist
2202009067
VA
235Z00000X
Speech-Language Pathologist
30119
CA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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