Provider Demographics
NPI:1932366978
Name:SMITH, LEIGH ANN PARRISH (MCD, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH ANN
Middle Name:PARRISH
Last Name:SMITH
Suffix:
Gender:F
Credentials:MCD, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WOODMERE DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-9355
Mailing Address - Country:US
Mailing Address - Phone:334-792-3680
Mailing Address - Fax:
Practice Address - Street 1:19 WOODMERE DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-9355
Practice Address - Country:US
Practice Address - Phone:334-792-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2144235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist