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Individual

DR. HEATHER L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6155 OAK ST STE C, KANSAS CITY, MO 64113-2266
(816) 678-0661
Mailing address
6155 OAK ST STE C, KANSAS CITY, MO 64113-2266
(816) 678-0661

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2018042521
MO
103TB0200X
Cognitive & Behavioral Psychologist
LP2385
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018042521
MO STATE BOARD OF PSYCHOLOGISTS
MO
01
LP2385
KS BOARD OF PSYCHOLOGISTS
KS
Enumeration date
09/22/2015
Last updated
06/11/2019
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