Healthcare Provider Details

I. General information

NPI: 1902700370
Provider Name (Legal Business Name): WORD-SMITH SPEECH THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 INKWOOD CT
SAINT AUGUSTINE FL
32092-3571
US

IV. Provider business mailing address

121 INKWOOD CT
SAINT AUGUSTINE FL
32092-3571
US

V. Phone/Fax

Practice location:
  • Phone: 941-782-7486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: THOMAS JAMES SMITH
Title or Position: SPEECH-LANGUAGE PATHOLOGIST/OWNER
Credential: MS, CCC-SLP
Phone: 941-782-7486