Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9131 SHAWHAN DR, CENTERVILLE, OH 45458-3736
(937) 474-6666
Mailing address
9131 SHAWHAN DR, CENTERVILLE, OH 45458-3736
(937) 474-6666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08814
OH
103TH0100X
Health Service Psychologist
20043465A
IN
Other
Enumeration date
01/04/2018
Last updated
11/12/2025
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