institution
Diana Smith Psychiatric Mental Health Nurse Practitioner Llc
Child & Adolescent Psychiatry Physician in Pueblo, Colorado
NPI 1588275929

Diana Smith Psychiatric Mental Health Nurse Practitioner Llc is a Child & Adolescent Psychiatry Physician based in Pueblo, CO and is specialized in Child & Adolescent Psychiatry. Diana Smith Psychiatric Mental Health Nurse Practitioner Llc practices in Pueblo, CO. The NPI Number for Diana Smith Psychiatric Mental Health Nurse Practitioner Llc is 1588275929 and holds a License No. (Colorado).

The current practice location address for Diana Smith Psychiatric Mental Health Nurse Practitioner Llc is 635 W Corona Ave Ste 200, Pueblo, CO and can be reached out via phone at 719-553-7521 and via fax at 719-299-4672. You can also correspond with Diana Smith Psychiatric Mental Health Nurse Practitioner Llc through the mailing address at 635 W CORONA AVE STE 200, PUEBLO, CO - 81004-1210 (mailing address contact number: 719-553-7521).

Location: 635 W Corona Ave Ste 200, Pueblo, CO, 81004-1210
institution
Provider Profile Details
NPI Number
1588275929
Provider Name
Diana Smith Psychiatric Mental Health Nurse Practitioner Llc
Credential
Provider Entity Type
Organization
Address
635 W Corona Ave Ste 200, Pueblo, CO, 81004-1210
Phone Number
719-553-7521
Fax Number
719-299-4672
Provider Enumeration Date
08/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1G4859 01 CO MEDICARE
9000189137 05 CO
institution
Provider Business Practice Location Address Details
Address
635 W Corona Ave Ste 200
City
State
Zip
81004-1210
Phone Number
719-553-7521
Fax Number
719-299-4672
person
Provider Business Mailing Address Details
Address
635 W Corona Ave Ste 200
City
State
Zip
81004-1210
Phone Number
719-553-7521
Fax Number
719-299-4672
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
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Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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