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

Miss. Shannon Marie Smith, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1598172694

Miss. Shannon Marie Smith, MS, CCC-SLP is a Speech-Language Pathologist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
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

1001 N 7th Ave Ste 280
Pocatello, ID 83201-5788
Phone: (208) 239-1490
Fax: (208) 239-1794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-2557 (ID)

Record details

NPI number1598172694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

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