Individual
COURTNEY ALEXANDRIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-0800
(502) 588-0801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0800
(502) 588-0801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
129684
KY
103TC0700X
Clinical Psychologist
20041653A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000710012
ANTHEM BC/BS
KY
05
—
200316480
—
IN
05
—
7100154970
—
KY
Enumeration date
11/03/2006
Last updated
10/27/2020
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