Individual
LAURA B. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3333 BURNET AVE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-7756
Mailing address
3333 BURNET AVE ML 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY8050
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.07992
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5937V
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/27/2010
Last updated
01/15/2020
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