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Contact Information

SUSANNAH SMITH, PhD
747 PACIFIC ST.
421
TELLURIDE, CO81435
 Phone: 970-728-5234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSANNAH SMITH · (Female)

NPI # 1265599682
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/03/2007
Last updated 07/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 1830
  • CO Medicaid 02680874
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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