Individual provider · Type 1 NPI

Kathleen Rene Smith, SE202993

Clinical Psychologist · Pocatello, ID

NPI number 1235689902 Active

Practice location

1000 N 8th Ave
Pocatello, ID 83201-5757

Fax (208) 232-6259

Mailing address

500 S 11th Ave Ste 400
Pocatello, ID 83201-4880

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XSE202993 (ID)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1235689902

Kathleen Rene Smith, SE202993's National Provider Identifier is 1235689902, issued on Oct 6, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Pocatello, ID. The record was last updated on Oct 6, 2016.