Provider Demographics
NPI:1568160562
Name:PUZINAUSKAS SMOLIN, KATERINA JOANNA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:JOANNA
Last Name:PUZINAUSKAS SMOLIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KATERINA
Other - Middle Name:JOANNA
Other - Last Name:PUZINAUSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:3042 CHIMNEY COVE CIR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35741-9631
Mailing Address - Country:US
Mailing Address - Phone:205-246-9953
Mailing Address - Fax:
Practice Address - Street 1:525 FOUNTAIN ROW SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4335
Practice Address - Country:US
Practice Address - Phone:205-246-9953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4258235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist