MRS. Ginny Marissa Smith, MS, CCC-SLP

NPI #1073802625 in Meridian, Idaho

Provider Information

NPI Number
1073802625
Entity Type
Individual
Name
MRS. Ginny Marissa Smith, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Apr 5, 2011
Last Updated
Apr 5, 2011

Practice Location

Address
1833 MILLENIUM WAY
State
Idaho
ZIP Code
83642-1510
Phone
(208) 898-1368

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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