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Individual

DR. SHAINA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 AIRPORT PKWY STE 240, CHEYENNE, WY 82001-1542
(307) 632-7771
Mailing address
6533 MORELAND AVE, CHEYENNE, WY 82009-3207

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
694
WY
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Enumeration date
07/11/2019
Last updated
10/08/2020
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