Provider Demographics
NPI:1790949204
Name:SMITHEE, VALERIE ANNE (MCD, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ANNE
Last Name:SMITHEE
Suffix:
Gender:
Credentials:MCD, CCC-SLP
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:ANNE
Other - Last Name:HOLDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD, CCC-SLP
Mailing Address - Street 1:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72602-0404
Mailing Address - Country:US
Mailing Address - Phone:870-215-3580
Mailing Address - Fax:888-203-4009
Practice Address - Street 1:PO BOX 404
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72602-0404
Practice Address - Country:US
Practice Address - Phone:870-215-3580
Practice Address - Fax:888-203-4009
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP8112235Z00000X
AR167573721235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR167573721Medicaid