ZACHARY SMITH

FORT WAYNE, IN
NPI1386397701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22007302A)
Enumeration Date2022-01-27
Last Update Date2022-01-27
Business Address
ZACHARY SMITH SLP
4118 N CLINTON ST
FORT WAYNE, IN 46805-1210
Phone number: 260-373-1050
Mailing Address
ZACHARY SMITH SLP
1824 TOUBY PIKE STE B
KOKOMO, IN 46901-2573
Phone number: 765-628-7400