Individual
ELIZABETH JOHNSTON SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
632 WHITE CHAPEL CIR, CHARLESTON, SC 29412-4351
(910) 736-1861
Mailing address
632 WHITE CHAPEL CIR, CHARLESTON, SC 29412-4351
(910) 736-1861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4259
SC
235Z00000X
Speech-Language Pathologist
SLP 6445
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
646298641A
—
GA
Enumeration date
12/26/2006
Last updated
08/15/2008
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