Provider Demographics
NPI:1457639171
Name:FRANKLIN SMITH, CHIQUITA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHIQUITA
Middle Name:
Last Name:FRANKLIN 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 1:1 BALTIMORE PL NW
Mailing Address - Street 2:SUITE 360
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2116
Mailing Address - Country:US
Mailing Address - Phone:404-815-9393
Mailing Address - Fax:404-815-9991
Practice Address - Street 1:1 BALTIMORE PL NW
Practice Address - Street 2:SUITE 360
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2116
Practice Address - Country:US
Practice Address - Phone:404-815-9393
Practice Address - Fax:404-815-9991
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist