Miss Shannon Marie Smith, MS, CCC-SLP | |
1001 N 7th Ave Ste 280, Pocatello, ID 83201-5788 | |
(208) 239-1490 | |
(208) 239-1794 |
Full Name | Miss Shannon Marie Smith |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1001 N 7th Ave Ste 280, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598172694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP-2557 (Idaho) | Primary |
Provider Name | Pocatello Health Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Miss Shannon Marie Smith, MS, CCC-SLP 1559 Stevens Drive, Unit D, Idaho Falls, ID 83401 Ph: (208) 241-3486 | Miss Shannon Marie Smith, MS, CCC-SLP 1001 N 7th Ave Ste 280, Pocatello, ID 83201-5788 Ph: (208) 239-1490 |
Mrs. Molly Lee Hill, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave Ste 6c, Pocatello, ID 83201 Phone: 208-530-0872 | |
Beth Agres, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave, Pocatello, ID 83201 Phone: 208-239-1490 | |
Kami Anne Westover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 4b, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 | |
Cheryl Zaremba, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 896 Lucille Ave, Pocatello, ID 83201 Phone: 208-234-7302 | |
Mr. James Ellis Williams Ii, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 527 Memorial Dr, Pocatello, ID 83201 Phone: 801-419-8096 | |
Mrs. Heather L. Rogers, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 | |
Amanda Taylor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1071 Renee Ave, Pocatello, ID 83201 Phone: 208-233-1411 |