Individual
RICHARD A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9711
Mailing address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114726
MO
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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