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

Individual provider Speech-Language Pathologist · NPI 1053794008

Mrs. Amanda Beth Smith, MACCCSLP is a Qualified Speech Language Pathologist in Providence, Rhode Island. Qualified in 2015, 11 years ago. Licensed in Connecticut, Maryland and Rhode Island.

Years since qualifying
11
Licensed in
CT, MD, RI
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

1000 Eddy St
Providence, RI 02905-4739
Phone: (401) 533-9100
Fax: (401) 533-9105
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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 11840 (MD)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP01338 (RI)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP01338 (CT)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 18.008364 (CT)

Record details

NPI number1053794008
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedJuly 8, 2015
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address36 Aimee Dr, Pawcatuck, CT 06379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Providence