Individual
MS. CARRIE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP CERT AVT
Contact information
Practice address
1330 AMHERST ST, SUITE D, WINCHESTER, VA 22601-3000
(540) 514-8486
(540) 301-3618
Mailing address
1888 CLAYTON RIDGE DR, WINCHESTER, VA 22601-6393
(501) 707-5873
(540) 301-3618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008058
VA
235Z00000X
Speech-Language Pathologist
SLP-1660
WV
Other
Enumeration date
11/15/2007
Last updated
09/10/2019
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