National Provider Identifier

Kaitlin Smith, PHD

Kaitlin Smith, PHD is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Tonawanda, NY and a listed phone number of (716) 836-9460.

NPI 1043688740Tonawanda, NYClinical Neuropsychologist

Profile Overview

NPI
1043688740
Provider Type
Individual
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
September 11, 2015
Last Updated
February 01, 2023

Practice Location

  • 884 Brighton RD
  • Tonawanda, NY 14150-8169

Phone: (716) 836-9460

Specialties

  • Clinical Neuropsychologist (103G00000X)
  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1043688740
Entity Type
Individual
Last Name
Smith
First Name
Kaitlin
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
884 Brighton RD
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8169
Mailing Country
US
Mailing Phone
(716) 836-9460
Mailing Fax
(716) 836-9460
Practice Street Address
884 Brighton RD
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8169
Practice Country
US
Practice Phone
(716) 836-9460
Practice Fax
(716) 836-9460
Enumeration Date
September 11, 2015
Last Updated
February 01, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 01, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Neuropsychologist (103G00000X), Clinical Psychologist (103TC0700X)