Shannon Smith

NPI 1285839530 · on the registry since 2007 · sole proprietor

Practice

Address: 2500 Fairmont Dr
San Leandro, CA 94578
Phone: (510) 667-3290
Organisation at this address: Alameda County
Alameda County Probation Dept.
Southern Alameda County Comite For Raza Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California