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NPI Code Detail

MEDICARE: ZANA LYNN SMITH

MEDICARE:   ZANA LYNN SMITH
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
1103TH0100XHealth Service Psychologist

General Provider Information

NPI Number : 1902637465
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZANA LYNN SMITH
Provider Business Mailing Address
First Line : 1110 MORGAN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3452
Country : US
Telephone Number : 702-444-8647
Fax Number :
Provider Business Practice Location Address
First Line : 1110 MORGAN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3452
Country : US
Telephone Number : 702-444-8647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ ZANA LYNN SMITH ” Practice Location

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