Provider Demographics
NPI:1235389925
Name:SMITH, FERRI DEMETRICE (AUD)
Entity Type:Individual
Prefix:DR
First Name:FERRI
Middle Name:DEMETRICE
Last Name:SMITH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:FERRI
Other - Middle Name:DEMETRICE
Other - Last Name:IRIME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:VALLEY SPECIALTY CENTER ENT/AUDIOLOGY
Mailing Address - Street 2:751 SOUTH BASCOM AVE, FL 4 AND SUITE 410
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-885-7992
Mailing Address - Fax:
Practice Address - Street 1:SANTA CLARA VALLEY MEDICAL CENTER, ENT/AUDIOLOGY DEPT
Practice Address - Street 2:751 SOUTH BASCOM AVENUE, 4TH FLOOR, STE 410
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-885-7992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9989237600000X
CA3401231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter