Provider Demographics
NPI:1922747575
Name:SMYTH, CAMILLE CIARA (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:CIARA
Last Name:SMYTH
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 KINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-5415
Mailing Address - Country:US
Mailing Address - Phone:415-632-6220
Mailing Address - Fax:
Practice Address - Street 1:145 KINGSTON ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-5415
Practice Address - Country:US
Practice Address - Phone:415-632-6220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist