Healthcare Provider Details

I. General information

NPI: 1386283158
Provider Name (Legal Business Name): SMITH PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6940 SIERRA CENTER PKWY
RENO NV
89511-2209
US

IV. Provider business mailing address

PO BOX 18565
RENO NV
89511-0565
US

V. Phone/Fax

Practice location:
  • Phone: 775-393-2000
  • Fax: 775-851-1456
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER DAVID SMITH
Title or Position: OWNER / PHYSICIAN
Credential: MD
Phone: 775-378-6992