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

TRACI A SMALLWOOD, MA CCC SLP

Active

TRACI A SMALLWOOD, MA CCC SLP is a Speech, Language and Hearing Specialist healthcare provider located in PLYMOUTH, Minnesota. NPI 1609099647 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · PLYMOUTH, MN

Registration Details

NPI Number
1609099647
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2007 (19.315585858801 yrs)
Last Updated
Sep 22, 2025
License
LICC-247 (MN)

Practice Information

Address
15600 36TH AVE N STE 120
PLYMOUTH, MN, 554463687
Browse MN providers · Browse ZIP 55446
Phone
7635950812
Fax
7635950824
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in PLYMOUTH, MN

Name Credential NPI
KAYE M BAUMGARDNER MS CCC-SLP, COM, CLC 1437129806
MRS. MARY ELIZABETH HAGEN MA/CCC SLP 1629014378
MRS. KIMBERLY LYNN HERMAN M.A., CCC-SLP 1578679742
JULIE K ERNEST CCC-SLP 1821187485
AMY LYNN HOLSTEN M.S. CCC-SLP 1700946944
TERESA A HESSLER M.S., CCC 1962628602
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.