Provider Demographics
NPI:1700972049
Name:SMITH, DEANNA GALIANO (MSP, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:GALIANO
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 CLEMATIS TRL
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2364
Mailing Address - Country:US
Mailing Address - Phone:803-469-3524
Mailing Address - Fax:
Practice Address - Street 1:2241 CLEMATIS TRL
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2364
Practice Address - Country:US
Practice Address - Phone:803-469-3524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2975235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist