Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | PSYA00421 | DC |
Y | 103TC0700X | Clinical Psychologist | PSYA00421 | DC |
N | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1225627540 |
---|---|
Provider Name | Dr. Ruth Katherine Smith |
First Address | Bowie, MD 20716-3233 |
Second Address | Washington, DC 20036-4909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2021 |
Last Update Date | 12/01/2021 |