Provider Demographics
NPI:1184270043
Name:SMITH, NOEL ELIZABETH
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:ELIZABETH
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOEL
Other - Middle Name:ELIZABETH
Other - Last Name:MOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 S ASPEN CT UNIT 6
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-1071
Mailing Address - Country:US
Mailing Address - Phone:704-964-4660
Mailing Address - Fax:
Practice Address - Street 1:209 S ASPEN CT UNIT 6
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-1071
Practice Address - Country:US
Practice Address - Phone:704-964-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist