# DR. SHANNON LEIGH SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154408102
- **Gender:** F
- **Credential:** AUD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 1601000386 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1011302 | PREFERRED ONE | — |
| 01 | — | 114370 | UCARE | — |
| 05 | — | 194317100 | — | MN |
| 01 | — | 41394 | HEALTH PARTNERS | — |
| 01 | — | 4500055 | MEDICA | — |
| 01 | — | 5G979EA | BCBS OF MN | MN |
| 01 | — | 640003663 | RAILROAD MEDICARE | — |
| 01 | — | 75D75SM | BCBS OF MN | MN |