Individual
ERIN KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
24000 S WILLIAM DR, MANHATTAN, IL 60442-8459
(317) 902-4255
Mailing address
24000 S WILLIAM DR, MANHATTAN, IL 60442-8459
(317) 902-4255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200812710
—
IN
Enumeration date
03/14/2007
Last updated
09/20/2016
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