Individual
DR. MARIAN L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3101 CLUB MANOR DR STE A, MAUMELLE, AR 72113-6088
(501) 271-8121
(866) 573-0780
Mailing address
3101 CLUB MANOR DR STE A, MAUMELLE, AR 72113-6088
(501) 271-8121
(866) 573-0780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
18-04P
AR
103TC0700X
Clinical Psychologist
18-04P
AR
103TC0700X
Clinical Psychologist
1923
KS
103TC0700X
Clinical Psychologist
2016032381
MO
103TC0700X
Clinical Psychologist
PY10836
FL
103TC0700X
Clinical Psychologist
T-LP 1800
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200609050A
—
KS
Enumeration date
06/22/2009
Last updated
02/15/2023
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