Individual
DIANE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2396 WILLOW DR, EXPORT, PA 15632-8942
(724) 961-2054
Mailing address
2396 WILLOW DR, EXPORT, PA 15632-8942
(724) 961-2054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016439
PA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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