Most Relevant Information
Provider Data
| NPI Number: | 1003645045 |
| Provider Name: | RODERICK LEE SMITH CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2024 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
245 WINKLERS CREEK RD
BOONE
NC
286077838
Practice Location Phone/Fax
| Phone: | 8287739195 |
| Fax: | 8449062433 |
Provider Mailing Location
PO BOX 252
DEEP GAP
NC
286180252
Provider Mailing Phone/Fax
| Phone: | 8287739195 |
| Fax: | 8449062433 |