Provider Demographics
NPI:1063293991
Name:SMITH, CYNTHIA BELL (MS,CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:BELL
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 HIDDEN CANYON CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1270
Mailing Address - Country:US
Mailing Address - Phone:512-653-6631
Mailing Address - Fax:
Practice Address - Street 1:4005 HIDDEN CANYON CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1270
Practice Address - Country:US
Practice Address - Phone:512-653-6631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist