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

Individual provider Speech-Language Pathologist · NPI 1407369895

Mrs. Jessica Renee Smith, MS, CCC-SLP is a Qualified Speech Language Pathologist in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2017
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

2026 E Susquehanna Ave
Philadelphia, PA 19125-1526
Phone: (919) 414-9420
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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

Record details

NPI number1407369895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 8, 2017
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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