Individual
NICHOLAS DEMICO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 FAIRBORN RD, CINCINNATI, OH 45240-2502
(513) 827-7190
Mailing address
800 FAIRBORN RD, CINCINNATI, OH 45240-2502
(513) 827-7190
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5628
—
OH
Enumeration date
01/04/2023
Last updated
01/04/2023
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