| Kevin G. Smith Phd And Associates | |
|
4203 Yoakum Blvd Ste 170 Houston TX 77006-5455 | |
| (713) 795-5151 | |
| (713) 795-5255 |
| Full Name | Kevin G. Smith Phd And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 4203 Yoakum Blvd Ste 170, Houston, Texas |
| Authorized Official Name and Position | Kevin Gene Smith (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7137955151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G. Smith Phd And Associates Po Box 541633 Houston TX 77254-1633 Ph: (713) 795-5151 | Kevin G. Smith Phd And Associates 4203 Yoakum Blvd Ste 170 Houston TX 77006-5455 Ph: (713) 795-5151 |
| NPI Number | 1043402167 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 8426118613 |
|---|---|
| Medicare Enrollment ID | O20081118000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043402167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700927167 PECOS PAC ID: 6305906595 Enrollment ID: I20131209001082 |
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