Smith, Latasha Monique

Smith, Latasha Monique is an individual health care provider with primary practice located at 5035 Fiorella Ln , Sanford FL 32771-5447. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Latasha Monique can be contacted via phone (413) 219-3717.

Contact Information

Primary practice address
5035 Fiorella Ln Sanford FL 32771-5447
Phone: (413) 219-3717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1235483108
LBN Legal business name Smith, Latasha Monique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2012
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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