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Individual

DR. HEATHER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
12021 PENNSYLVANIA ST STE 205, THORNTON, CO 80241-3152
(720) 263-1185
Mailing address
12021 PENNSYLVANIA ST STE 205, THORNTON, CO 80241-3152
(720) 263-1185

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5474
CO
103T00000X
Psychologist
3984
CO
103TC1900X
Counseling Psychologist
Primary
3984
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02126834
CO
Enumeration date
01/12/2012
Last updated
02/25/2023
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