Individual
LEIF H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-3600
(614) 293-4399
Mailing address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-3600
(614) 293-4399
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
6241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803229
—
OH
Enumeration date
10/12/2007
Last updated
05/30/2008
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