National Provider Identifier

Kristine W Smith

Kristine W Smith is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 421-2000.

NPI 1659771210Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1659771210
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 01, 2014
Last Updated
December 05, 2015

Practice Location

  • 38 W Church St
  • Fairport
  • Fairport, NY 14450-2130

Phone: (585) 421-2000

Mailing Address

  • 38 W Church St
  • Fairport, NY 14450-2130

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1659771210
Entity Type
Individual
Last Name
Smith
First Name
Kristine
Middle Name
W
Mailing Street Address
38 W Church St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2130
Mailing Country
US
Practice Street Address
38 W Church St
Practice Address Line 2
Fairport
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-2130
Practice Country
US
Practice Phone
(585) 421-2000
Enumeration Date
September 01, 2014
Last Updated
December 05, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)