| Kip Smith, Phd Rehabilitation Psychology Llc | |
|
3601 Green Rd Ste 218 Beachwood OH 44122-5719 | |
| (216) 407-3470 | |
| (216) 595-0088 |
| Full Name | Kip Smith, Phd Rehabilitation Psychology Llc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 3601 Green Rd Ste 218, Beachwood, Ohio |
| Authorized Official Name and Position | Kip Smith (PSYCHOLOGIST) |
| Authorized Official Contact | 2164073470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kip Smith, Phd Rehabilitation Psychology Llc 3601 Green Rd Ste 218 Beachwood OH 44122-5719 Ph: (216) 407-3470 | Kip Smith, Phd Rehabilitation Psychology Llc 3601 Green Rd Ste 218 Beachwood OH 44122-5719 Ph: (216) 407-3470 |
| NPI Number | 1316748742 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 05/17/2025 |
| Certification Date | 05/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316748742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
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