Individual
JUDITH R SMITHERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.T.
Contact information
Practice address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(505) 820-5702
(505) 820-5438
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5227
(505) 820-5440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
827
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014098
LOVELACE
—
01
—
2413409
UHC
—
05
—
69850780
—
NM
01
—
NM00E225
BCBS NM
NM
01
—
PROVP16194
MOLINA
—
Enumeration date
12/06/2006
Last updated
10/31/2007
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