Individual
MRS. LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4539 WINDCREST DR, RENO, NV 89523-9417
(508) 479-1417
Mailing address
4539 WINDCREST DR, RENO, NV 89523-9417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1448
NV
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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