Individual
JENNIFER DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3333 BURNET AVENUE, ML 4002, CINCINNATI, OH 45229-3039
(513) 636-4611
(513) 636-3800
Mailing address
3333 BURNET AVENUE, ML 4002, CINCINNATI, OH 45229-3039
(513) 636-4611
(513) 636-3800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6250
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6250
OH
Other
Enumeration date
05/07/2009
Last updated
02/12/2018
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