Most Relevant Information
Provider Data
| NPI Number: | 1003561093 |
| Provider Name: | ASHLEY GWEN SMITH SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 19647 |
Most Important Dates
| Enumeration Date: | 02/17/2022 |
| Last Updated: | 01/05/2023 |
Provider Practice Location
960 COMMONWEALTH BLVD
TUPELO
MS
388049762
Practice Location Phone/Fax
| Phone: | 6622603789 |
| Fax: | 6622603790 |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | 4237776236 |
| Fax: |