Individual
SUSAN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
458 COURT ST., RENO, NV 89501-1709
(775) 324-1234
(775) 323-2220
Mailing address
458 COURT ST, RENO, NV 89501-1709
(775) 324-1234
(775) 323-2220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY255
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616056
—
NV
Enumeration date
01/29/2007
Last updated
11/21/2016
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