Individual
MR. ERIC J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SPEECH THERAPIST
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-3050
(215) 831-3065
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-3050
(215) 831-3065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007900
PA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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