Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 1361 | KS |
NPI | 1104132141 |
---|---|
Provider Name | Rachel Beth Kirkpatrick Smiley |
First Address | Oklahoma City, OK 73135-2707 |
Second Address | Moore, OK 73160-5401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2010 |
Last Update Date | 23/07/2012 |