Individual
HEATHER RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1488 RAVENA ST, BETHLEHEM, PA 18015-9424
(215) 514-9622
Mailing address
1488 RAVENA ST, BETHLEHEM, PA 18015-9424
(215) 514-9622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014748
PA
235Z00000X
Speech-Language Pathologist
SLP-1967
WV
Other
Enumeration date
04/14/2020
Last updated
01/28/2021
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