Kathleen Rene Smith, SE202993 - Psychologist in Pocatello, ID

Kathleen Rene Smith, SE202993 is a Psychologist - Clinical based in Pocatello, Idaho. Kathleen Rene Smith is licensed to practice in Idaho (license number SE202993) and her current practice location is 1000 N 8th Ave, Pocatello, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 232-6260.

NPI number for Kathleen Rene Smith is 1235689902 and her current mailing address is 500 S 11th Ave Ste 400, Pocatello, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235689902.

Contact Information

Kathleen Rene Smith, SE202993
1000 N 8th Ave,
Pocatello, ID 83201-5757
(208) 232-6260
(208) 232-6259



Healthcare Provider's Profile

Full NameKathleen Rene Smith
GenderFemale
SpecialityPsychologist - Clinical
Location1000 N 8th Ave, Pocatello, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235689902
  • Provider Enumeration Date: 10/06/2016
  • Last Update Date: 10/06/2016

Medical Identifiers

Medical identifiers for Kathleen Rene Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235689902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical SE202993 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Rene Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Rene Smith, SE202993
500 S 11th Ave Ste 400,
Pocatello, ID 83201-4880

Ph: (208) 232-7862
Kathleen Rene Smith, SE202993
1000 N 8th Ave,
Pocatello, ID 83201-5757

Ph: (208) 232-6260

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› Verified 9 days ago


Psychologist in Pocatello, ID

Ms. Eunice Grace Gardner, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1710    
Dr. Steven Randall Lawyer, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Idaho State University, Department Of Psychology, Stop 8112, Pocatello, ID 83209
Phone: 208-282-2142    Fax: 208-282-4832
Jessica Michelle Wilson-lucero, ED.S, NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 395 1/2 Willard Ave, Pocatello, ID 83201
Phone: 208-240-4063    
Dr. Nicholas E. Heyneman, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 850 E Center St, Suite A, Pocatello, ID 83201
Phone: 208-234-7740    Fax: 208-392-1541
Dr. Debra L Aubrey, PHD
Psychologist
Medicare: May Accept Medicare Assignments
Practice Location: 1070 Hiline Road, Ste 250, Pocatello, ID 83201
Phone: 208-742-6400    Fax: 208-742-6444
Anne Stegenga,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 209-282-4141    
John L. Christensen, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 500 S 11th Ave, Suite 302, Pocatello, ID 83201
Phone: 208-233-0150    Fax: 208-233-0159

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