Individual
SHERYL LEANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 HAWKINS DR, IOWA CITY, IA 52242-1016
(319) 356-1410
Mailing address
100 HAWKINS DR, IOWA CITY, IA 52242-1016
(319) 356-1410
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
306869
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600585
—
IA
Enumeration date
07/24/2012
Last updated
07/24/2012
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