Constance Cheryl Smith, M.S., M.ED.
Individual provider Active NPI Speech-Language Pathologist · New Alany, IN
NPI 1902035355 · NPPES record last updated Jul 8, 2009
Key facts
- NPI
- 1902035355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0100-9441 (IN)
- Practice address
- 3101 Azalea Drive
New Alany, IN 47150 - Phone
- (812) 949-1518
- Fax
- (812) 949-1518
- NPI assigned
- Jul 7, 2009
- 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
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0100-9441 | IN | MD | Speech-Language Pathologist |
| 01009441 | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01009441 | IN | |
| Speech-Language Pathologist | 235Z00000X | 0100-9441 | IN | Yes |
Addresses
Primary practice location
3101 Azalea Drive
New Alany, IN 47150
Mailing address
3101 Azalea Drive
New Albany, IN 47150
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2009. 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.