Organization
JOSHUA D SMITH AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN PUCKETT (DIRECTOR)
(208) 524-5607
Entity
Organization
Contact information
Practice address
540 3RD ST, IDAHO FALLS, ID 83401
(208) 529-3719
(208) 535-0942
Mailing address
540 3RD ST, IDAHO FALLS, ID 83401-3953
(208) 529-3719
(208) 535-0942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807372000
—
ID
Enumeration date
03/08/2007
Last updated
03/23/2026
Update your record
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