Michelle Dawn Smith
Individual provider Active NPI Speech-Language Pathologist · Lake Tapps, WA
NPI 1902159585 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1902159585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL61609947 (WA)
- Practice address
- 1320 178TH Ave E
Lake Tapps, WA 98391-6411 - Phone
- (253) 862-2537
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL61609947 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dieringer School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Speech-Language Pathologist | 235Z00000X | LL61609947 | WA | Yes |
Addresses
Primary practice location
1320 178TH Ave E
Lake Tapps, WA 98391-6411
Mailing address
1320 178TH Ave E
Lake Tapps, WA 98391-6411
Phone (253) 862-2537
Other providers in Lake Tapps, WA
- Mohamed H Saber
- Anna Michelle May Schliesman
- Brianna Schoeneman
- Bethany B Sillanpaa
- Brianne Leigh Smith
- Nancy Spencer
- Nathan Spencer
- Stuart Ayling DDS PLLC
- Wendy Lee Tate
- Tko Anesthesia LLC
All providers in Lake Tapps, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.