Individual
AVERI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4935 HILLEGAS RD, FORT WAYNE, IN 46818-1934
(260) 338-1241
(260) 338-1231
Mailing address
4935 HILLEGAS RD, FORT WAYNE, IN 46818-1934
(260) 338-1241
(260) 338-1231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005985A
IN
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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