Individual
SHONTELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 W 45TH ST, AUSTIN, TX 78751-2802
(512) 451-2242
Mailing address
810 W 45TH ST, AUSTIN, TX 78751-2802
(512) 451-2242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39793
TX
Other
Enumeration date
04/12/2021
Last updated
05/02/2024
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