Provider Demographics
NPI:1972790533
Name:MARCHETTI SMITH, PATRICIA MARY (MS CCC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARY
Last Name:MARCHETTI SMITH
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2709 WOODSDALE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214
Mailing Address - Country:US
Mailing Address - Phone:443-629-3837
Mailing Address - Fax:410-288-4480
Practice Address - Street 1:2709 WOODSDALE AVENUE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214
Practice Address - Country:US
Practice Address - Phone:443-629-3837
Practice Address - Fax:410-288-4480
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0081107502235Z00000X
MD00841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist