Beverly B Smith, CCC-SLP
Speech-Language Pathologist, in Arlington, GA. Individual provider (NPI-1).
NPI number1104965367
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104965367
- Entity type
- Individual (NPI-1)
- Name
- Beverly B Smith
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP000774 | GA | Yes |
Practice location
Rr 2 Box 205Arlington, GA 39813-9643
Phone 229-725-3270
Mailing address
Rr 2 Box 205Arlington, GA 39813-9643
Phone 229-725-3270
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