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

Traci A Smallwood, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1609099647

Traci A Smallwood, MACCCSLP is a Speech-Language Pathologist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

15600 36th Ave N Ste 120
Plymouth, MN 55446-3687
Phone: (763) 595-0812
Fax: (763) 595-0824
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 LICC-247 (MN)

Record details

NPI number1609099647
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

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