Smith, Charlene M

Smith, Charlene M is an individual health care provider with primary practice located at 2500 S Havana St 5Th Floor, Med. Operations, Aurora CO 80014-1618. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Charlene M can be contacted via phone (303) 338-3511.

Contact Information

Primary practice address
2500 S Havana St 5Th Floor, Med. Operations Aurora CO 80014-1618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 800 Colorado

Profile Details

NPI number 1417084427
LBN Legal business name Smith, Charlene M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 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 1417084427 NPPES
Other 002385 KAISER-COMMERCIAL NUMBER

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