Kevin J Smith is a Clinical in Lyndhurst, Ohio. Kevin J Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin J Smith is 1124113261. The last update date is 2007-07-08.
Kevin J Smith's current location address is 5001 Mayfield Rd, Lyndhurst, Ohio. You can contact this provider via phone number 2162914000 and fax number 2162914111. The mailing address for Kevin J Smith is 5001 Mayfield Rd, Lyndhurst, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Smith |
|---|---|
| Address | 5001 Mayfield Rd, Lyndhurst, Ohio |
| Phone Number | 2162914000 |
| Fax Number | 2162914111 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1124113261 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5001 Mayfield Rd |
|---|---|
| City | Lyndhurst |
| State | Ohio (OH) |
| Post Code | 441242602 |
| Phone Number | 2162914000 |
| Fax Number | 2162914111 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4780 |
|
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 |
|---|---|---|---|
| 190318 | OH | ANTHEM | |
| 964256 | OH | -- | |
| 6100371 | OH | EVERCARE |
Post Comment/ Review Below
What is the unique identification code assigned to Kevin J Smith by the Centers for Medicare & Medicaid Services?
The Kevin J Smith has been issued the NPI (National Provider Identifier) 1124113261. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin J Smith?
The Kevin J Smith is situated at 5001 Mayfield Rd, in the city of Lyndhurst, state of OH, with the zip code 441242602.
What is the Kevin J Smith's specialty and taxonomy code?
The Kevin J Smith's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1124113261 assigned to Kevin J Smith?
The Kevin J Smith was issued its 1124113261 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kevin J Smith most recently updated or revised?
The information pertaining to Kevin J Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.