| Mr Kenneth Smith, MS | |
|
522 Glenwood Ave, New Boston, OH 45662-5505 | |
| (740) 354-0270 | |
| (740) 354-0280 |
| Full Name | Mr Kenneth Smith |
|---|---|
| Gender | Male |
| Speciality | Psychologist - School |
| Location | 522 Glenwood Ave, New Boston, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568864742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | OU1023241 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Smith, MS 522 Glenwood Ave, New Boston, OH 45662-5505 Ph: (740) 354-0270 | Mr Kenneth Smith, MS 522 Glenwood Ave, New Boston, OH 45662-5505 Ph: (740) 354-0270 |
Royna Lattimore, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 522 Glenwood Ave, New Boston, OH 45662 Phone: 740-354-0269 Fax: 740-354-0280 |
Marlene Henderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 522 Glenwood Ave, New Boston, OH 45662 Phone: 740-354-0270 |
Amy Gerard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 522 Glenwood Ave, New Boston, OH 45662 Phone: 740-354-7761 |