Search › Idaho › 103TC0700X
Rusty Smith, PSYD
NPI 1235323320 · on the registry since 2007
Practice
- Address
- 740 E Warm Springs Ave
Boise, ID 83712 - Phone
- (208) 343-7797
- Organisation at this address
- Children'S Home Society Of Idaho
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho