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Individual

MR. RANDALL D. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., CCC-SLP

Contact information

Practice address
3110 S WADSWORTH BLVD, STE 107, LAKEWOOD, CO 80227-4805
(303) 988-7299
(303) 988-8502
Mailing address
3110 S WADSWORTH BLVD, STE 107, LAKEWOOD, CO 80227-4805
(303) 988-7299
(303) 988-8502

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
237700000X
Hearing Instrument Specialist
CO HAD #80
CO

Other

Enumeration date
08/16/2006
Last updated
11/20/2012
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