Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
3701 SANDY HOOK DR, COLUMBUS, IN 47203-3604
(317) 965-3779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005707A
IN
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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