Individual
TANYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 ROGERS AVE, SUMMERSVILLE, MO 65571-0198
(417) 932-4929
Mailing address
21683 STATE ROUTE Z, SUMMERSVILLE, MO 65571-8764
(517) 932-4929
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2025030208
MO
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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