Individual
JACQUELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SKILES BLVD, WEST CHESTER, PA 19382-7321
(610) 455-4055
Mailing address
148 COOPERS DR, NEWARK, DE 19702-2120
(516) 987-3573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O4-0000388
DE
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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