Individual
TERESA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2825 BURNET AVE, CINCINNATI, OH 45219-2426
(513) 558-5857
Mailing address
3333 BURNET AVE ML 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2018
Last updated
08/02/2021
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