Smith, C River

Smith, C River is an sole proprietor health care provider with primary practice located at 11206 Clifton Blvd , Cleveland OH 44102-1407. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, C River can be contacted via phone (216) 651-1302.

Contact Information

Primary practice address
11206 Clifton Blvd Cleveland OH 44102-1407
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4658 Ohio

Profile Details

NPI number 1205965480
LBN Legal business name Smith, C River
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205965480 NPPES
Ohio MEDICAID 0923479

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