Latisha Smith, ED.S.

NPI #1134633993 in O'fallon, Illinois

Provider Information

NPI Number
1134633993
Entity Type
Individual
Name
Latisha Smith, ED.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - School
Credential
ED.S.
Enumeration Date
Nov 30, 2017
Last Updated
Nov 30, 2017

Practice Location

Address
600 S. SMILEY ST.
ZIP Code
62269
Phone
(618) 632-3507

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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