Susan Smart is a Psychologist in Prairie Home, Missouri. Susan Smart practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan Smart is 1093885592. The last update date is 2016-08-01.
Susan Smart's current location address is 22409 Ellis Davis Rd, Prairie Home, Missouri. You can contact this provider via phone number 6608415031. The mailing address for Susan Smart is 22409 Ellis Davis Rd, Prairie Home, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Smart |
|---|---|
| Address | 22409 Ellis Davis Rd, Prairie Home, Missouri |
| Phone Number | 6608415031 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093885592 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2016-08-01 |
Provider Mailing Address Detail
| Address | 22409 Ellis Davis Rd |
|---|---|
| City | Prairie Home |
| State | Missouri (MO) |
| Post Code | 650682143 |
| Phone Number | 6608415031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2000163196 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 499774826 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Smart?
The Susan Smart has been issued the NPI (National Provider Identifier) 1093885592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Smart's facilities are situated?
The facilities of Susan Smart are physically located at the following address: 22409 Ellis Davis Rd, Prairie Home, MO, 650682143.
What is Susan Smart's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Smart's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date was the 1093885592 assigned to Susan Smart?
The Susan Smart was issued its 1093885592 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Susan Smart most recently updated or refreshed?
The details pertaining to the Susan Smart, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-01.