Stacie Diane Smith, CCC/SLP is a
Speech-language Pathologist based in Canton, Texas. Stacie Diane Smith is licensed to practice in Texas (license number 17061) and her current practice location is
1073 S Buffalo St, Canton, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 567-4981.
NPI number for Stacie Diane Smith is 1356001333 and her current mailing address is Po Box 705, Edgewood, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356001333.
Healthcare Provider's Profile
| Full Name | Stacie Diane Smith |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 1073 S Buffalo St, Canton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356001333
- Provider Enumeration Date: 12/18/2021
- Last Update Date: 12/18/2021
Medical Identifiers
Medical identifiers for Stacie Diane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356001333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 17061 (Texas) | Primary |
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. Stacie Diane 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 |
|---|
Stacie Diane Smith, CCC/SLP
Po Box 705,
Edgewood, TX 75117-0705
Ph: (903) 521-6839 | Stacie Diane Smith, CCC/SLP
1073 S Buffalo St,
Canton, TX 75103-2301
Ph: (903) 567-4981 |
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