Provider Demographics
NPI:1306022348
Name:SMITH, CHRISTY RAMAGE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:RAMAGE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 RAMBUSH DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5128
Mailing Address - Country:US
Mailing Address - Phone:615-584-3355
Mailing Address - Fax:615-896-0820
Practice Address - Street 1:632 RAMBUSH DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5128
Practice Address - Country:US
Practice Address - Phone:615-584-3355
Practice Address - Fax:615-896-0820
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-20
Last Update Date:2008-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12004136235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist