Individual
SHAUNA L.H. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
488 N KATSURA AVE, KUNA, ID 83634-2194
(208) 204-9687
Mailing address
PO BOX 175, KUNA, ID 83634-0175
(208) 204-9687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1065
ID
Other
Enumeration date
11/10/2006
Last updated
04/02/2024
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