Individual
DR. LIBBY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D. PH.D.
Contact information
Practice address
3240 S. TROTTER LANE, FLAGSTAFF, AZ 86005
(928) 310-8403
Mailing address
711 W. WHIPPLE ROAD, FLAGSTAFF, AZ 86001
(928) 310-8403
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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