John Smith's National Provider Identifier (NPI) Details
John Smith, MSEd, NCC, LMHC
NPI: 1932452331
Enumeration Date: 2012-10-23
Last updated: 2013-09-25
Sole Proprietor: NO
Status: active
Postal Address: 933 E 53RD ST, DAVENPORT, IA
Phone: 563-324-9309
Primary Practice Address: 3125 DOUGLAS AVE STE 100, DES MOINES, IA
Practice's phone: 563-324-9309