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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.

Location: 635 W Corona Ave Ste 200, Pueblo, CO, 81004-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Pueblo
State
Colorado
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
Pueblo
State
Colorado
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
2084P0804X
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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