Provider Demographics
NPI:1982197398
Name:SMITH, DORI MARIE (DMA, MS, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:DORI
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:DMA, MS, CCC-SLP
Other - Prefix:DR
Other - First Name:DORI
Other - Middle Name:MARIE
Other - Last Name:SCHOLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMA, MS, CCC-SLP
Mailing Address - Street 1:SPEECH LANGUAGE HEARING SCIENCES 1131 E SECOND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0001
Mailing Address - Country:US
Mailing Address - Phone:520-621-7070
Mailing Address - Fax:
Practice Address - Street 1:SPEECH LANGUAGE HEARING SCIENCES 1131 E SECOND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0001
Practice Address - Country:US
Practice Address - Phone:520-621-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist