Individual
DR. STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
030877
OR
231H00000X
Audiologist
Primary
AU2599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU2599
CALIFORNIA AUDIOLOGY LICENSE
—
Enumeration date
07/23/2008
Last updated
03/08/2025
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