Shontell Smith
Psychologist, Clinical in Austin, TX. Individual provider (NPI-1).
NPI number1407436645
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1407436645
- Entity type
- Individual (NPI-1)
- Name
- Shontell Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2021
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 39793 | TX | Yes |
Practice location
810 W 45th StAustin, TX 78751-2802
Phone 512-451-2242
Mailing address
810 W 45th StAustin, TX 78751-2802
Phone 512-451-2242
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