Provider Information for 1205355757
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HEATHER SMITH Psy.D
Sex: Female
NPI: 1205355757
Last Updated: 2022-10-21
Certification Date: 2022-10-21
Certification Date: 2022-10-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1205355757 | ||||||||
| Enumeration Date | 2017-09-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2600 VICTORY PKWY CINCINNATI, OH 45206-1711 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 4968 GLENWAY AVE CINCINNATI, OH 45238-3902 United States Phone: 513-853-6575 | Fax:513-853-6587 | ||||||||
| Secondary Practice Address(es) | 2600 VICTORY PKWY | ||||||||
| Health Information Exchange |
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