Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Smith, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265579288

Mary Smith, MSCCC-SLP is a Speech-Language Pathologist in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

606 S 9th St
Leesburg, FL 34748-6320
Phone: (352) 805-4404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA936 (FL)

Record details

NPI number1265579288
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESFebruary 3, 2023
Certification dateNovember 15, 2022
Mailing address847 Berryhill Cir, Fruitland Park, FL 34731-5287

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