Healthcare Provider Details

I. General information

NPI: 1922377233
Provider Name (Legal Business Name): CHRISTOPHER HOOVER SMITH PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 02/27/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48TH MDG, OPC 41 BOX 15
APO AE
09461
US

IV. Provider business mailing address

PSC 41 BOX 9154
APO AE
09464-0092
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8603
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2301
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: