Kevin J Smith, phd
Psychologist, Clinical in Lyndhurst, OH. Individual provider (NPI-1).
NPI number1124113261
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124113261
- Entity type
- Individual (NPI-1)
- Name
- Kevin J Smith
- Credential
- phd
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4780 | OH | Yes |
Practice location
5001 Mayfield RdSuite 200
Lyndhurst, OH 44124-2602
Phone 216-291-4000 · Fax 216-291-4111
Mailing address
5001 Mayfield RdSuite 200
Lyndhurst, OH 44124-2602
Phone 216-291-4000 · Fax 216-291-4111
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