Individual
MS. JERIANNE CATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP CF
Contact information
Practice address
4216 BALLOON PARK RD NE, COOPERATIVE EDUCATIONAL SERVICES, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
(505) 344-9343
Mailing address
321 BRYN MAWR SE, ALBUQUERQUE, NM 87106
(505) 385-6536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C4059
NM
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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