STEPHANIE AUTUMN SMITH

CHICAGO, IL
NPI1215470687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.018334)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: NY  027403-1)
235Z00000X Speech-Language Pathologist,
(Licence: MA  8790)
Enumeration Date2016-12-02
Last Update Date2025-05-13
Business Address
STEPHANIE AUTUMN SMITH M.S., CCC-SLP
2232 N CLYBOURN AVE # 3
CHICAGO, IL 60614-3193
Phone number: 773-377-5492
Mailing Address
STEPHANIE AUTUMN SMITH M.S., CCC-SLP
1560 MAYFLOWER AVE
BRONX, NY 10461-5400
Phone number: