Raphael G Smith is a Clinical in Kansas City, Missouri. Raphael G Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raphael G Smith is 1093792392. The last update date is 2010-02-11.
Raphael G Smith's current location address is 4044 Central St, Kansas City, Missouri. You can contact this provider via phone number 8169604525. The mailing address for Raphael G Smith is 4044 Central St, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raphael G Smith |
|---|---|
| Address | 4044 Central St, Kansas City, Missouri |
| Phone Number | 8169604525 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY D, HSP |
NPI Number Detail
| NPI Number | 1093792392 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2010-02-11 |
Provider Mailing Address Detail
| Address | 4044 Central St |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641112228 |
| Phone Number | 8169604525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041042A |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 343420 | IN | MHN | |
| 188733 | IN | ANTHEM BLUE CROSS | |
| 200095120 | IN | -- |
Post Comment/ Review Below
What is the Raphael G Smith's 1093792392?
The Raphael G Smith's NPI (National Provider Identifier) Number is 1093792392. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Raphael G Smith is physically located?
The Raphael G Smith is physically situated at the following address: 4044 Central St, Kansas City, MO, 641112228.
What is Raphael G Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Raphael G Smith is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093792392 to Raphael G Smith?
The Centers for Medicare & Medicaid Services originally issued the 1093792392 to Raphael G Smith on 2005-12-28.
When was the information pertaining to Raphael G Smith most recently updated or revised?
The details related to Raphael G Smith, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-11.