Provider Demographics
NPI:1013227073
Name:SINGH, SMITA V (MS CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:SMITA
Middle Name:V
Last Name:SINGH
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29680 WHITE HALL DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1950
Mailing Address - Country:US
Mailing Address - Phone:248-426-6554
Mailing Address - Fax:
Practice Address - Street 1:29680 WHITE HALL DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1950
Practice Address - Country:US
Practice Address - Phone:248-426-6554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000420231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist