Shannon Smith, MS, SLP | |
1559 N Stevens Dr, Unit D, Idaho Falls, ID 83401-3897 | |
(208) 241-3486 | |
Not Available |
Full Name | Shannon Smith |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1559 N Stevens Dr, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598172694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP-2557 (Idaho) | Primary |
Provider Name | Pocatello Health Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Shannon Smith, MS, SLP 1559 Stevens Drive, Unit D, Idaho Falls, ID 83401 Ph: (208) 241-3486 | Shannon Smith, MS, SLP 1559 N Stevens Dr, Unit D, Idaho Falls, ID 83401-3897 Ph: (208) 241-3486 |
Ms. Margaret Ellen Adamski, M.S. Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 3346 Merlin Dr., Idaho Falls, ID 83404 Phone: 208-523-3226 | |
Kliss Moulton, MS, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3715 Woodking Dr, Idaho Falls, ID 83404 Phone: 208-529-2255 | |
Brittany Long, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Mrs. Brittany M Thomas, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 407 10th St, Idaho Falls, ID 83404 Phone: 208-709-1144 | |
Mrs. Misty Richardson, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2775 Sandy Cir, Idaho Falls, ID 83401 Phone: 208-520-8488 | |
Britney Baumgartel, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 | |
Cami Jo Finehout, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-535-1286 |