Individual
ANNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LINEBERRY BLVD, MT JULIET, TN 37122-5517
(615) 758-4888
Mailing address
526 DR DB TODD JR BLVD, NASHVILLE, TN 37203-2840
(501) 317-8363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144934181
TN DRIVER'S LICENSE
TN
Enumeration date
11/11/2019
Last updated
09/19/2022
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