Individual
MS. HOLLY ROUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
484 WILLIAMSON RD STE 102, MOORESVILLE, NC 28117-8191
(704) 746-9698
Mailing address
484 WILLIAMSON RD STE 102, MOORESVILLE, NC 28117-8191
(704) 746-9688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412424
—
NC
Enumeration date
02/13/2006
Last updated
05/24/2024
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