Provider Demographics
NPI:1881895456
Name:EDBERG SMITH, MARIA B IONE (MS SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:B IONE
Last Name:EDBERG SMITH
Suffix:
Gender:F
Credentials:MS SLP-CCC
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Other - First Name:
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Mailing Address - Street 1:1173 ROCK SPRINGS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8414
Mailing Address - Country:US
Mailing Address - Phone:615-220-5796
Mailing Address - Fax:615-956-7892
Practice Address - Street 1:520 HIGHLAND TER STE E
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2485
Practice Address - Country:US
Practice Address - Phone:615-220-5796
Practice Address - Fax:615-220-8829
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN3663235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist