Individual
DR. STEPHANIE SHAIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
874 MIRCOS ST, ERIE, CO 80516-5407
(303) 828-3080
Mailing address
874 MIRCOS ST, ERIE, CO 80516-5407
(303) 828-3080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2994
CO
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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