Provider Demographics
NPI:1376965707
Name:HERNANDEZ SMITH, NATALIE LUCIA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:LUCIA
Last Name:HERNANDEZ SMITH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5418 FRIENDLY MANOR DR APT F
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4359
Mailing Address - Country:US
Mailing Address - Phone:860-946-7070
Mailing Address - Fax:
Practice Address - Street 1:2415 SUNNYFIELD CT
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9380
Practice Address - Country:US
Practice Address - Phone:919-240-5437
Practice Address - Fax:919-883-4513
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist