Patricia Smith, PT, CCC/SLP is a
Speech-language Pathologist based in Glenbrook, Nevada. Patricia Smith is licensed to practice in Nevada (license number SP-2088) and her current practice location is
1639 Logan Creek, Glenbrook, Nevada. She can be reached at her office (for appointments etc.) via phone at
(805) 479-2769.
NPI number for Patricia Smith is 1649872490 and her current mailing address is Po Box 174, Glenbrook, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649872490.
Healthcare Provider's Profile
| Full Name | Patricia Smith |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1639 Logan Creek, Glenbrook, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649872490
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 11/16/2020
Medical Identifiers
Medical identifiers for Patricia Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649872490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT-6691 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP-13938 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP-2088 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Patricia Smith, PT, CCC/SLP
Po Box 174,
Glenbrook, NV 89413-0174
Ph: (805) 479-2769 | Patricia Smith, PT, CCC/SLP
1639 Logan Creek,
Glenbrook, NV 89413
Ph: (805) 479-2769 |
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