Individual
LYNETTE CORIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
29398 RECOVERY WAY, JUNCTION CITY, OR 97448-8442
(541) 465-2776
Mailing address
29398 RECOVERY WAY, JUNCTION CITY, OR 97448-8442
(541) 465-2776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2798
OR
103TC0700X
Clinical Psychologist
071008723
IL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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