Individual
MRS. ELIZABETH ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(484) 686-4018
Mailing address
549 E SAXONY DR, EXTON, PA 19341-2067
(484) 686-4018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010829
PA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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