Healthcare Provider Details
I. General information
NPI: 1528021961
Provider Name (Legal Business Name): KAREN LYNN SMARR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 04/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 HOSPITAL DR
COLUMBIA MO
65201-5275
US
IV. Provider business mailing address
800 HOSPITAL DR
COLUMBIA MO
65201-5275
US
V. Phone/Fax
- Phone: 573-814-6560
- Fax: 573-814-6561
- Phone: 573-814-6560
- Fax: 573-814-6561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | 2004033834 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 2004033834 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | 2004033834 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: