Individual
MR. KENNETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
(740) 354-0270
(740) 354-0280
Mailing address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
(740) 354-0270
(740) 354-0280
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OU1023241
OH
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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