Individual
MRS. AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
252 W MAIN ST, DECATUR, IL 62523-1215
(217) 422-6042
Mailing address
252 W MAIN ST, DECATUR, IL 62523-1215
(217) 422-6042
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001174
IL
231H00000X
Audiologist
2006002921
MO
Other
Enumeration date
01/22/2007
Last updated
03/18/2008
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