Mrs Lisa Gayle Smith, MS, CCC-SLP is a
Speech-language Pathologist based in Brooklyn, Mississippi. Mrs Lisa Gayle Smith is licensed to practice in Mississippi (license number 12104093) and her current practice location is
130 Sam Boyte Rd, Brooklyn, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 818-5508.
NPI number for Mrs Lisa Gayle Smith is 1477884674 and her current mailing address is 130 Sam Boyte Rd, Brooklyn, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477884674.
Healthcare Provider's Profile
Full Name | Mrs Lisa Gayle Smith |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 130 Sam Boyte Rd, Brooklyn, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477884674
- Provider Enumeration Date: 01/27/2010
- Last Update Date: 01/27/2010
Medical Identifiers
Medical identifiers for Mrs Lisa Gayle Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477884674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 12104093 (Mississippi) | Primary |
235Z00000X | Speech-language Pathologist | S3064 (Mississippi) | Secondary |
235Z00000X | Speech-language Pathologist | 193758 (Mississippi) | Secondary |
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. Mrs Lisa Gayle 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 |
Mrs Lisa Gayle Smith, MS, CCC-SLP 130 Sam Boyte Rd, Brooklyn, MS 39425-9501 Ph: (601) 818-5508 | Mrs Lisa Gayle Smith, MS, CCC-SLP 130 Sam Boyte Rd, Brooklyn, MS 39425-9501 Ph: (601) 818-5508 |
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