Individual
SHANNON C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, SLP/CF
Contact information
Practice address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 799-7732
Mailing address
PO BOX 10566, DANVILLE, VA 24543-5010
(434) 799-7732
(434) 799-7733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008668
VA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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