IndividualActive
Amanda Smith, MA CCC SLP
NPI 1053794008 · Speech-Language Pathologist · Providence, RI
Provider details
- NPI number
- 1053794008
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA CCC SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SP01338 (RI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
1000 Eddy St
Providence, RI 02905-4739
Phone: (401) 533-9100
Fax: (401) 533-9105
Approximate (ZIP-level) locationGet directions
Mailing address
36 Aimee Dr
Pawcatuck, CT 06379
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.