Individual
DR. LAUREL A. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2098 PORTAGE RD, SUITE 175, WOOSTER, OH 44691-1970
(330) 264-1999
(330) 264-1999
Mailing address
2098 PORTAGE RD, SUITE 175, WOOSTER, OH 44691-1970
(330) 264-1999
(330) 264-1999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167091
—
OH
Enumeration date
12/04/2006
Last updated
07/08/2007
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