Individual
ENID DIANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
2 W NORTHFIELD RD, SUITE 303, LIVINGSTON, NJ 07039-3789
(862) 812-4300
(973) 994-0828
Mailing address
2 W NORTHFIELD RD, SUITE 303, LIVINGSTON, NJ 07039-3789
(862) 812-4300
(973) 994-0828
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
41YA00068000
NJ
237600000X
Audiologist-Hearing Aid Fitter
Primary
25MG00106800
NJ
Other
Enumeration date
12/06/2006
Last updated
03/18/2011
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