Individual
DR. JANIS DIANE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 421-2390
(563) 421-1430
Mailing address
1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 421-2390
(563) 421-1430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00895
IA
103TC0700X
Clinical Psychologist
PS-006763-L
PA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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