Individual
MARLA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3077 E 98TH ST, SUITE 165, INDIANAPOLIS, IN 46280-2940
(317) 566-2805
Mailing address
3077 E 98TH ST, SUITE 165, INDIANAPOLIS, IN 46280-2940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041168A
IN
Other
Enumeration date
05/09/2007
Last updated
07/17/2007
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