Smith, Felicia D
Smith, Felicia D is an individual health care provider with primary practice located at 200 E Chestnut St , Louisville KY 40202-1831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Felicia D can be contacted via phone (502) 852-6941.Contact Information
Primary practice address
200 E Chestnut St
Louisville KY 40202-1831
Phone: (502) 852-6941
Fax: (502) 852-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1389 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1389 | Kentucky |
Profile Details
| NPI number | 1083703441 |
|---|---|
| LBN Legal business name | Smith, Felicia D |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083703441 | NPPES |
| Kentucky | Other | 1389 | PSYCHOLOGY LICENSE |
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