Michelle Caroline Smith, BA, ITDS CERTIFICATE

NPI #1972777241 in Seffner, Florida

Provider Information

NPI Number: 1972777241
Entity Type: Individual
Name: Michelle Caroline Smith, BA, ITDS CERTIFICATE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Early Intervention Provider Agency
Credential: BA, ITDS CERTIFICATE
Enumeration Date: Apr 17, 2008
Last Updated: Mar 17, 2018

Practice Location

Address: 448 ARCH RIDGE LOOP
City: Seffner
State: Florida
ZIP Code: 33584-3701
Phone: (813) 767-7682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X
Early Intervention Provider Agency	252Y00000X	Primary

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