Doctor Name: | RACHEL BETH KIRKPATRICK SMILEY |
NPI Number: | 1104132141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | T-LMLP |
License Number: | 1361 |
Business Practice Address: | 604 S Classen Ave Ste. A Moore, OK - 731605401 |
Business Phone Number: | 4057356333 |
Business Fax Number: | 4057356629 |
Mailing Address: | 4301 Se 49th Ter, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731352707 |
Phone Number: | 4058336108 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |