| Kathleen Rene Smith, SE202993 | |
|
1000 N 8th Ave, Pocatello, ID 83201-5757 | |
| (208) 232-6260 | |
| (208) 232-6259 |
| Full Name | Kathleen Rene Smith |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1000 N 8th Ave, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235689902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | SE202993 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Rene Smith, SE202993 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 Ph: (208) 232-7862 | Kathleen Rene Smith, SE202993 1000 N 8th Ave, Pocatello, ID 83201-5757 Ph: (208) 232-6260 |
Ms. Eunice Grace Gardner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1710 | |
Dr. Steven Randall Lawyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Idaho State University, Department Of Psychology, Stop 8112, Pocatello, ID 83209 Phone: 208-282-2142 Fax: 208-282-4832 | |
Jessica Michelle Wilson-lucero, ED.S, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 395 1/2 Willard Ave, Pocatello, ID 83201 Phone: 208-240-4063 | |
Dr. Nicholas E. Heyneman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 E Center St, Suite A, Pocatello, ID 83201 Phone: 208-234-7740 Fax: 208-392-1541 | |
Dr. Debra L Aubrey, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1070 Hiline Road, Ste 250, Pocatello, ID 83201 Phone: 208-742-6400 Fax: 208-742-6444 | |
Anne Stegenga, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 209-282-4141 | |
John L. Christensen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave, Suite 302, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 |