Provider Demographics
NPI:1447412648
Name:SMITH CONSULTANTS, INC,
Entity Type:Organization
Organization Name:SMITH CONSULTANTS, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JO
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:812-343-1823
Mailing Address - Street 1:820 COUNTRYSIDE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-8906
Mailing Address - Country:US
Mailing Address - Phone:812-343-1823
Mailing Address - Fax:812-342-0657
Practice Address - Street 1:820 COUNTRYSIDE LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-8906
Practice Address - Country:US
Practice Address - Phone:812-343-1823
Practice Address - Fax:812-342-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-28
Last Update Date:2008-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003025A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200727450AOtherFIRST STEPS LPI NUMBER
IN22003025AOtherSTATE LICENSE NUMBER