| Agnes M Smith, ST | |
| 
					406 S Gosse Blvd, Princeton, IL 61356-1916  | |
| (815) 875-4548 | |
| (815) 875-8602 | 
| Full Name | Agnes M Smith | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 406 S Gosse Blvd, Princeton, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154419455 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Agnes M Smith, ST 406 S Gosse Blvd, Princeton, IL 61356-1916 Ph: (815) 875-4548  | Agnes M Smith, ST 406 S Gosse Blvd, Princeton, IL 61356-1916 Ph: (815) 875-4548  | 
Diane Schaffer-vandenborre,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 121 N Knox St, Princeton, IL 61356 Phone: 815-626-3300 Fax: 815-626-3300  | |
Shelly L Nelson, MS, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 515 S Bureau Valley Pkwy, Princeton, IL 61356 Phone: 815-872-0023 Fax: 815-872-0023  |