Individual
C RIVER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11206 CLIFTON BLVD, CLEVELAND, OH 44102-1407
(216) 651-1302
Mailing address
11206 CLIFTON BLVD, CLEVELAND, OH 44102-1407
(216) 651-1302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0923479
—
OH
Enumeration date
03/05/2007
Last updated
07/09/2007
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