Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE LYNN SMITH, PSY.D., L.P.
Active Sole ProprietorDR. NICOLE LYNN SMITH, PSY.D., L.P. is a Child, Clinical Psychologist healthcare provider located in MINNETONKA, Minnesota. NPI 1215206552 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · MINNETONKA, MN
Registration Details
- NPI Number
- 1215206552
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2011 (14.65817937154 yrs)
- Last Updated
- Jun 26, 2014
- License
-
LP5504 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10273 YELLOW CIRCLE DRMINNETONKA, MN, 553439144Browse MN providers · Browse ZIP 55343
- Phone
- 9522153759
- Fax
- 9524019805
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in MINNETONKA, MN
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH JEAN CLEMMENSEN | M.EQ. | 1992711154 |
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.