Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Rene Smith, SE202993

Individual provider Clinical Psychologist · NPI 1235689902

Kathleen Rene Smith, SE202993 is a Clinical Psychologist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016

Practice location Address checks out

1000 N 8th Ave
Pocatello, ID 83201-5757
Phone: (208) 232-6260
Fax: (208) 232-6259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence SE202993 (ID)

Record details

NPI number1235689902
Entity typeIndividual (Type 1)
GenderFemale
Credentials SE202993
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 6, 2016

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