Individual
KATHLEEN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
307 4TH AVE, BANK TOWER THIRD FLOOR, PITTSBURGH, PA 15222-2108
(412) 391-7552
(412) 391-6640
Mailing address
307 4TH AVE, BANK TOWER THIRD FLOOR, PITTSBURGH, PA 15222-2108
(412) 391-7552
(412) 391-6640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005897L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006
UPMC
PA
01
—
056926
VALUE OPTIONS
PA
01
—
2177080
AETNA
PA
01
—
517037
HIGHMARK
AL
01
—
650336
PA BLUE SHIELD
PA
Enumeration date
04/10/2006
Last updated
07/08/2007
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