Provider Demographics
NPI:1144670910
Name:SMITH, MORIE (AUD)
Entity type:Individual
Prefix:
First Name:MORIE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 S 61ST ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6856
Mailing Address - Country:US
Mailing Address - Phone:254-742-9632
Mailing Address - Fax:
Practice Address - Street 1:2027 S 61ST ST STE 107
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6856
Practice Address - Country:US
Practice Address - Phone:254-742-9632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist