Individual
KEVIN G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4203 YOAKUM BLVD STE 170, HOUSTON, TX 77006-5455
(713) 795-5151
(713) 795-5255
Mailing address
PO BOX 541633, HOUSTON, TX 77254-1633
(713) 795-5151
(713) 795-5255
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-4835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847337-01
—
TX
01
—
2-4835
LICENSE NUMBER
TX
Enumeration date
02/09/2007
Last updated
11/22/2024
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