Individual
MRS. KIMBERLY LAUREN SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
809 JOHN D BARRY DR, WILMINGTON, NC 28412-0983
(910) 799-4999
Mailing address
1005 GARDEN CLUB WAY, LELAND, NC 28451-9599
(724) 622-2072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13482
NC
235Z00000X
Speech-Language Pathologist
SL009016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12095472
ASHA NUMBER
—
01
—
13482
NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUD.
NC
Enumeration date
10/01/2008
Last updated
03/08/2020
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