Individual
MRS. KATHLEEN ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPTIST LA
Contact information
Practice address
3105 INDEPENDENCE DR, STE 105, BIRMINGHAM, AL 35209-4111
(205) 803-2210
(205) 803-2214
Mailing address
3105 INDEPENDENCE DR, STE 105, BIRMINGHAM, AL 35209-4111
(205) 803-2210
(205) 803-2214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2320
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2320
STATE LICENSE
AL
Enumeration date
10/29/2014
Last updated
10/29/2014
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