Individual
DR. ASHLEY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
800 HOSPITAL DR, BEHAVIORAL HEALTH SERVICE LINE, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, BEHAVIORAL HEALTH SERVICE LINE, COLUMBIA, MO 65201-5275
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4712
HEALTH SERVICE PROVIDER - PSYCHOLOGIST (HSP-P)
NC
Enumeration date
02/02/2015
Last updated
02/02/2015
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