Individual
DR. RICHARD VAUGHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
526 M. SHOUP AVE. W. STE.#1, TWIN FALLS, ID 83301
(208) 734-0447
Mailing address
526M SHOUP AVE W STE 1, TWIN FALLS, ID 83301-5029
(208) 734-0447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY73
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0732
BLX OF IDAHO
ID
Enumeration date
08/30/2007
Last updated
08/30/2007
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