Individual
RUSTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
Mailing address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
203047
ID
Other
Enumeration date
08/31/2007
Last updated
01/16/2024
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