Individual
JACQUELINE LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 497-3300
Mailing address
4222 E VEST AVE, GILBERT, AZ 85295-6144
(630) 631-8343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5393
AZ
Other
Enumeration date
09/04/2007
Last updated
04/30/2021
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