IndividualActive
Erica Smith
NPI 1104430438 · Speech-Language Pathologist · Capron, IL
Provider details
- NPI number
- 1104430438
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
200 N Wooster St
Capron, IL 61012-9550
Phone: (815) 608-3776
Approximate (ZIP-level) locationGet directions
Mailing address
200 N Wooster St
Capron, IL 61012-9550
Registry dates
- Enumerated
- 2020-09-03
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.