Mark Randall Smith, PHD

NPI #1790779775 in Hutchinson, Minnesota

Provider Information

NPI Number
1790779775
Entity Type
Individual
Name
Mark Randall Smith, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Sep 7, 2005
Last Updated
Oct 30, 2008

Practice Location

Address
904 HWY 15 SOUTH FRONTAGE RD.
Address 2
SUITE H
ZIP Code
55350
Phone
(320) 587-2939

Specialties & Taxonomy Codes

Specialty
Psychologist

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