Individual
JO BARTELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
3304 SE LOOP 820, FORT WORTH, TX 76140-1113
(817) 984-7545
(817) 533-2654
Mailing address
7111 LAYLA RD, ARLINGTON, TX 76016-5428
(817) 371-6275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12629
LICENSED PSYCHOLOGICAL ASSOCIATE - INDEPENDENT PRACTICE
TX
Enumeration date
05/16/2018
Last updated
05/16/2018
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