Latisha Smith, EDS - Psychologist in O'fallon, IL

Latisha Smith, EDS is a Psychologist - School based in O'fallon, Illinois. Latisha Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is 600 S. Smiley St., O'fallon, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 632-3507.

NPI number for Latisha Smith is 1134633993 and her current mailing address is 600 S. Smiley St., O'fallon, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134633993.

Contact Information

Latisha Smith, EDS
600 S. Smiley St.,
O'fallon, IL 62269
(618) 632-3507
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLatisha Smith
GenderFemale
SpecialityPsychologist - School
Location600 S. Smiley St., O'fallon, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134633993
  • Provider Enumeration Date: 11/30/2017
  • Last Update Date: 11/30/2017

Medical Identifiers

Medical identifiers for Latisha Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134633993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School (* (Not Available))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. Latisha 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
Latisha Smith, EDS
600 S. Smiley St.,
O'fallon, IL 62269

Ph: () -
Latisha Smith, EDS
600 S. Smiley St.,
O'fallon, IL 62269

Ph: (618) 632-3507

Reviews and Comments


Psychologist in O'fallon, IL