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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA GAYLE SMITH, M.S., CCC-SLP

Active Sole Proprietor

MRS. LISA GAYLE SMITH, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PETAL, Mississippi. NPI 1477884674 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · PETAL, MS

Registration Details

NPI Number
1477884674
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2010 (16.538230542965 yrs)
Last Updated
Feb 17, 2026
Licenses
193758 (MS)
12104093 (MS)
S3064 (MS)
Sole Proprietor
Yes

Practice Information

Address
57 RUSSETT LN
PETAL, MS, 394654061
Browse MS providers · Browse ZIP 39465
Phone
6012709464
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in PETAL, MS

Name Credential NPI
LESLEY THOMAS ELLISON 1912207937
MRS. SHERRY LAZENBY MULLING M.S., CCC-SLP 1437439858
JENNA SMITH 1952674335
HEATHER EZELL 1245049154
EMILY CADE 1518750884
KRYSTAL MORGAN 1023988128
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.