Smith, Randi Marie

Smith, Randi Marie is an individual health care provider with primary practice located at 5007 River Green Ln , Charlotte NC 28227-0388. 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, Randi Marie can be contacted via phone (704) 532-7942.

Contact Information

Primary practice address
5007 River Green Ln Charlotte NC 28227-0388
Phone: (704) 532-7942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4628 North Carolina

Profile Details

NPI number 1538117882
LBN Legal business name Smith, Randi Marie
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1538117882 NPPES
North Carolina MEDICAID 7412071
North Carolina Other 138V5

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