SearchOhio101YA0400X

Shannon Smith

NPI 1326669888 · on the registry since 2020

Practice

Address
17400 Northwood Ave
Lakewood, OH 44107
Phone
(216) 403-8640
Organisation at this address
Old School Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-06

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 Ohio