Individual
NICHOLE SUOMI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
57 COLONIAL AVE, VALPARAISO, IN 46383-8373
(219) 617-3923
Mailing address
57 COLONIAL AVE, VALPARAISO, IN 46383-8373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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