Individual
DR. HARWELL F SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
343 WALLER AVE, SUITE 300, LEXINGTON, KY 40504-2919
(859) 276-1836
(859) 276-0609
Mailing address
343 WALLER AVE, SUITE 300, LEXINGTON, KY 40504-2919
(859) 276-1836
(859) 276-0609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY0467
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067888
ANTHEM BCBS
KY
01
—
5904469
AETNA
—
05
—
89007637
—
KY
Enumeration date
04/28/2006
Last updated
05/28/2013
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