Individual
DR. HEATHER L SMITH
Active
Individual
DR. HEATHER L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
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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