Individual
STACY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
575 BIRCH ST, CIRCLE PINES, MN 55014-1369
(763) 792-6000
(763) 392-7743
Mailing address
575 BIRCH ST, CIRCLE PINES, MN 55014-1369
(763) 792-6000
(763) 392-7743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12046991
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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