Individual
MRS. SUSAN ROCHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11808 N 64TH ST, SCOTTSDALE, AZ 85254-5010
(480) 484-3200
(480) 484-3201
Mailing address
PO BOX 3578, CAREFREE, AZ 85377-3578
(602) 750-4414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1555
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626880
—
AZ
Enumeration date
01/30/2007
Last updated
07/08/2007
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