Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2105 ACADEMY CIR, COLORADO SPRINGS, CO 80909-1663
(719) 598-5555
Mailing address
2105 ACADEMY CIR, COLORADO SPRINGS, CO 80909-1663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PSLP0001109
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005971
CO
Other
Enumeration date
09/06/2023
Last updated
06/13/2024
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