Provider Information for 1548362353
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ROBERT SCOTT SMITTLE M.S., LPC
Sex: Male
NPI: 1548362353
Last Updated: 2025-03-03
Certification Date: 2025-03-03
Certification Date: 2025-03-03
Details
Name | Value | ||||||||
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NPI | 1548362353 | ||||||||
Enumeration Date | 2006-09-02 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1125 CHARLOTTE CIR CONWAY, AR 72034-6046 United States Phone: 501-765-9634 | Fax: | ||||||||
Primary Practice Address | 1000 SWN DR STE 101 CONWAY, AR 72032-2558 United States Phone: 501-588-2747 | Fax: | ||||||||
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