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Individual

DR. JOELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY. D

Contact information

Practice address
6065 S QUEBEC ST STE 202, GREENWOOD VILLAGE, CO 80111-4532
(303) 910-1755
Mailing address
100 WEST FRONTIER #1616, PAYSON, AZ 85547
(303) 910-1755
(602) 693-0309

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3335
CO
103TC0700X
Clinical Psychologist
Primary
3335
CO
103TC1900X
Counseling Psychologist
3335
CO
103TC2200X
Clinical Child & Adolescent Psychologist
3335
CO
103TF0000X
Family Psychologist
3335
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285039933
NPI
CO
01
1841671385
BUSINESS NPI
CO
01
415474ZPH5
MEDICARE PTAN
CO
Enumeration date
10/23/2014
Last updated
12/28/2020
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