Individual
JOSEPH DERRELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14131 KARL ST, OMAHA, NE 68137-1505
(917) 686-8384
Mailing address
14131 KARL ST, OMAHA, NE 68137-1505
(917) 686-8384
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
103TH0004X
NE
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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