| NPI | 1316748742 |
|---|---|
| Doing Business As | KIP SMITH, PHD REHABILITATION PSYCHOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | KIP SMITH Psychologist 216-407-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-05-17 |