Marian C. Smith, SPEECH PATHOLOGIST,

Individual provider Active NPI Speech-Language Pathologist · Eagar, AZ

NPI 1407916489 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407916489
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
165 S. Brown
Eagar, AZ 85925
Phone
(928) 333-6680
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Round Valley Unified School District #10 Past Accepting new patients
Round Valley Unifed School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X AZ Yes

Addresses

Primary practice location

165 S. Brown
Eagar, AZ 85925

Mailing address

HC 30 Box 771
Concho, AZ 85924-9628
Phone (923) 337-3384

Other providers in Eagar, AZ

All providers in Eagar, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.