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NPI Code Detail

MEDICARE: TODD E SMITH LMLP

MEDICARE: TODD E SMITH LMLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistLMLP 1137KS

General Provider Information

NPI Number : 1871517383
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD E SMITH LMLP
Provider Business Mailing Address
First Line : 21350 W 153RD ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-5413
Country : US
Telephone Number : 913-322-4935
Fax Number : 913-621-5631
Provider Business Practice Location Address
First Line : 21350 W 153RD ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-5413
Country : US
Telephone Number : 913-322-4935
Fax Number : 913-621-5631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/07/2008

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Directions to “ TODD E SMITH LMLP” Practice Location

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