Jennifer Bruno Smith, M.S CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008843 Issued in PA

Practice address

101 Leader Dr
Williamsport, PA 17701-1942

Phone

(570) 323-3758

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1770735102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023119",
            "telephone_number": "814-931-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEADER DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011942",
            "telephone_number": "570-323-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "BRUNO",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Smead
• Angela Lynn Smith, CNM
• Brooke Morgan Smith, PA-C
• Crystallee Smith, LPN
• Jack Michael Smith, MD
• Paul Jeffery Smith, MD
• Emily Snell, D.O.
• Judith Anne Snell, PA-C
• John V. Snurkowski, PA-C
• Amber Snyder, CST/CSFA

• Speech-Language Pathologist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.