Healthcare Provider Details

I. General information

NPI: 1629986815
Provider Name (Legal Business Name): SMITH SPEECH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E MAIN ST
NEW ALBANY MS
38652-3931
US

IV. Provider business mailing address

405 E MAIN ST
NEW ALBANY MS
38652-3931
US

V. Phone/Fax

Practice location:
  • Phone: 251-490-8425
  • Fax: 662-257-7281
Mailing address:
  • Phone: 251-490-8425
  • Fax: 662-257-7281

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: LOUISA VANCE REBARCHAK SMITH
Title or Position: OWNER
Credential: CCC SLP
Phone: 251-490-8425