Individual
DANA K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
511 E 12TH AVE, EUGENE, OR 97401-3608
(541) 954-1469
Mailing address
511 E 12TH AVE, EUGENE, OR 97401-3608
(541) 954-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2380
OR
103T00000X
Psychologist
2380
OR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2380
OR
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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