Individual
DR. STEPHANIE STACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.,LP
Contact information
Practice address
200 4TH AVE W, GOVERNMENT CENTER, RM 300, SHAKOPEE, MN 55379-1220
(952) 496-8614
(952) 496-8355
Mailing address
200 4TH AVE W, GOVERNMENT CENTER, RM 300, SHAKOPEE, MN 55379-1220
(952) 496-8614
(952) 496-8355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6125
MN
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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