Doctor Name: | SHAUNA L. SMITH |
NPI Number: | 1386715696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERAPIST |
License Number: | 12098605 |
Business Practice Address: | 901 N Curtis Rd Ste 204 Boise, ID - 837061340 |
Business Phone Number: | 2083673315 |
Business Fax Number: | 2083672674 |
Mailing Address: | 901 N Curtis Rd Ste 204, BOISE |
State: | ID |
Postal Code: | 837061340 |
Phone Number: | 2083673315 |
Fax Number: | 2083672674 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12098605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |