Individual
SUSAN BETTIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
8001 COLLEGE BLVD, SUITE 220, OVERLAND PARK, KS 66210
(913) 451-8550
(913) 469-5266
Mailing address
8001 COLLEGE BLVD, SUITE 220, OVERLAND PARK, KS 66210
(913) 451-8550
(913) 469-5266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
306
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35976019
BCBS KC
KS
01
—
35976019
BCBS KC
MO
Enumeration date
10/14/2006
Last updated
07/08/2007
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