Smith, Kristin D
Smith, Kristin D is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Neuropsychology, Milwaukee WI 53226-3522. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Smith, Kristin D can be contacted via phone (414) 805-5660.Contact Information
Primary practice address
9200 W Wisconsin Ave Neuropsychology
Milwaukee WI 53226-3522
Phone: (414) 805-5660
Fax: (414) 259-9012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2873 | Wisconsin |
Profile Details
| NPI number | 1376864710 |
|---|---|
| LBN Legal business name | Smith, Kristin D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Nov 1st, 2011 - about 15 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 | 1376864710 | NPPES |
| Wisconsin | MEDICAID | 1376864710 |
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