Individual
DR. DANIELLE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., MSCP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-4097
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-4097
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
168047
KY
103TC0700X
Clinical Psychologist
Primary
168047
KY
103TF0200X
Forensic Psychologist
168047
KY
Other
Enumeration date
08/14/2013
Last updated
02/24/2025
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