Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENNA SMITH
Active Sole ProprietorGLENNA SMITH is a Emotionally Disturbed Children Residential Treatment healthcare provider located in NEWBURG, Missouri. NPI 1619091741 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · NEWBURG, MO
Registration Details
- NPI Number
- 1619091741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2007 (19.41375689219 yrs)
- Last Updated
- Feb 17, 2010
- License
-
5972-9429 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24752 CLEMENTINE OUTER RDNEWBURG, MO, 655509048Browse MO providers · Browse ZIP 65550
- Phone
- 5737623201
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.