Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamie Gonnerman, MS, CCC-SLP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073039335

Jamie Gonnerman, MS, CCC-SLP is a Student in an Organized Health Care Education/Training Program in Fort Smith, Arkansas. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3304 S M St
Fort Smith, AR 72903-2903
Phone: (479) 785-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Ave K, Portales, NM 88130 — (918) 851-6395

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073039335
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESOctober 1, 2019

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