Individual
MRS. AMANDA BETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9105
Mailing address
36 AIMEE DR, PAWCATUCK, CT 06379
(860) 501-1754
(401) 533-9105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11840
MD
235Z00000X
Speech-Language Pathologist
18.008364
CT
235Z00000X
Speech-Language Pathologist
SP01338
CT
235Z00000X
Speech-Language Pathologist
SP01338
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NEIGHBORHOOD HEALTH OF RI
RI
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS OF RI
RI
Enumeration date
07/08/2015
Last updated
02/04/2026
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