Provider Demographics
NPI:1487849089
Name:CUMMINGS-SMITH, MRY E (M S CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MRY
Middle Name:E
Last Name:CUMMINGS-SMITH
Suffix:
Gender:F
Credentials:M S CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6878 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-3506
Mailing Address - Country:US
Mailing Address - Phone:740-592-6357
Mailing Address - Fax:
Practice Address - Street 1:6878 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-3506
Practice Address - Country:US
Practice Address - Phone:740-592-6357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 7182235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist