Maurissa Lynne Smith
Individual provider Active NPI Speech-Language Pathologist · Inlet Beach, FL
NPI 1588149751 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1588149751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 10 Grande Pointe Cir
Inlet Beach, FL 32461-7376 - Phone
- (478) 335-4776
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
10 Grande Pointe Cir
Inlet Beach, FL 32461-7376
Mailing address
10 Grande Pointe Cir
Inlet Beach, FL 32461-7376
Phone (478) 335-4776
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- South Walton Eyecare LLC
- Lauren Stipp
- Breanna E Streeter
- Elizabeth B Tucker
- Kenneth B Tucker
All providers in Inlet Beach, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.