Individual
KRISTIN ALEXI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MISTY WIND DR, BROUSSARD, LA 70518-7794
(337) 344-0571
Mailing address
103 MISTY WIND DR, BROUSSARD, LA 70518-7794
(337) 344-0571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115432
TX
235Z00000X
Speech-Language Pathologist
8530
LA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/20/2019
Last updated
11/06/2024
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