Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477884674 Individual Practitioner Female Practitioner

Lisa Gayle Smith , MS, CCC-SLP

Speech-Language Pathologist • Petal, MS

Professional Overview & Biography Verified Profile Summary

Lisa Smith, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Petal, MS. Practice services are available at 57 RUSSETT LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

57 Russett Ln

Petal, MS 394654061

Telephone 6012709464
Associated Practice Facility / Clinic
🏢 Hub City Speech Therapy, Llc. Facility NPI 1265385421

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Petal, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Petal, MS (1519 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MS 12104093

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MS 193758

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MS S3064

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 17, 2026

Registered at 57 RUSSETT LN, PETAL, MS 394654061 (Tel: 6012709464)

📍
Updated Business Mailing Address February 17, 2026

Registered at 57 RUSSETT LN, PETAL, MS 394654061 (Tel: 6012709464)

NPI Profile Active January 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2010

Registered at 130 SAM BOYTE RD, BROOKLYN, MS 394259501 (Tel: 6018185508)

📍
Updated Business Mailing Address January 27, 2010

Registered at 130 SAM BOYTE RD, BROOKLYN, MS 394259501 (Tel: 6018185508)

👤
Provider Name / Credentials Updated January 27, 2010

Recorded as LISA SMITH, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2010

Speech-Language Pathologist (License #12104093 in MS)

🟢
Initial NPI Registration & Enumeration January 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477884674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2010
Last Update: February 17, 2026
Sole Proprietor: Yes

Mailing Address

57 Russett Ln

Petal, MS 394654061

Phone: 6012709464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.