Individual
EMMA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 29TH AVENUE PL STE 200, GREELEY, CO 80634-6800
(970) 352-8311
Mailing address
613 BREWER DR, FORT COLLINS, CO 80524-5307
(913) 832-4311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0005408
CO
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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