Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN SMART, PH.D.
Active Sole ProprietorDR. SUSAN SMART, PH.D. is a Psychologist healthcare provider located in PRAIRIE HOME, Missouri. NPI 1093885592 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PRAIRIE HOME, MO
Registration Details
- NPI Number
- 1093885592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2006 (19.748436997996 yrs)
- Last Updated
- Aug 1, 2016
- License
-
2000163196 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22409 ELLIS DAVIS RDPRAIRIE HOME, MO, 650682143Browse MO providers · Browse ZIP 65068
- Phone
- 6608415031
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.