Provider Demographics
NPI:1952657389
Name:SMELCER, LESLIE RENAE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:RENAE
Last Name:SMELCER
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 WINFIELD DUNN PKWY STE 6
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-0502
Mailing Address - Country:US
Mailing Address - Phone:865-888-4327
Mailing Address - Fax:865-769-0281
Practice Address - Street 1:7557 DANNAHER WAY # A
Practice Address - Street 2:220
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3558
Practice Address - Country:US
Practice Address - Phone:865-769-0283
Practice Address - Fax:865-769-0281
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1608231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
103I645424Medicare PIN