Most Relevant Information
Provider Data
| NPI Number: | 1003553710 |
| Provider Name: | CHASITY NICOLE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 8933 |
Most Important Dates
| Enumeration Date: | 05/14/2022 |
| Last Updated: | 05/14/2022 |
Provider Practice Location
4153 FLAT SHOALS PKWY BLDG C
DECATUR
GA
300344106
Practice Location Phone/Fax
| Phone: | 4042449477 |
| Fax: |
Provider Mailing Location
401 N CORTEZ ST APT 2125
NEW ORLEANS
LA
701194855
Provider Mailing Phone/Fax
| Phone: | 3343338751 |
| Fax: |