Smith, Debra Ann

Smith, Debra Ann is an individual health care provider with primary practice located at 9047 Executive Park Dr Suite 115, Knoxville TN 37923-4605. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Smith, Debra Ann can be contacted via phone (865) 539-1928.

Contact Information

Primary practice address
9047 Executive Park Dr Suite 115 Knoxville TN 37923-4605
Fax: (865) 539-6461
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4191 Tennessee

Profile Details

NPI number 1487721577
LBN Legal business name Smith, Debra Ann
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 25th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487721577 NPPES
Georgia MEDICAID 000941718A

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