Smith, Marjorie M

Smith, Marjorie M is an sole proprietor health care provider with primary practice located at 4624 Summerdale Dr , Pace FL 32571-1368. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Smith, Marjorie M can be contacted via phone (850) 994-3456.

Contact Information

Primary practice address
4624 Summerdale Dr Pace FL 32571-1368
Phone: (850) 994-3456
Fax: (850) 994-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA3404 Florida

Profile Details

NPI number 1760402788
LBN Legal business name Smith, Marjorie M
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Sep 24th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760402788 NPPES
Florida MEDICAID 882739701
Florida Other 7639395
Florida Other S2057
Florida MEDICAID 882739700

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