Individual
DR. SHAYLA D.C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1406 WILLOWBROOK RD STE 106, BELOIT, WI 53511-6925
(608) 364-4400
(608) 312-2477
Mailing address
1406 WILLOWBROOK RD STE 106, BELOIT, WI 53511-6925
(608) 364-4400
(608) 364-4400
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147-000997
IL
231H00000X
Audiologist
Primary
467-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41150300
—
WI
Enumeration date
07/19/2005
Last updated
01/11/2021
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