Individual
MARYBETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP, M.A.
Contact information
Practice address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-2877
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-2877
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01094154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01094154
ASHA NUMBER
MI
Enumeration date
09/20/2007
Last updated
09/20/2007
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