MEDICARE: DON A. SMITH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1023385671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DON A. SMITH, INC

Provider Business Mailing Address
First Line	:	4228 I-35 N.
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3408
Country	:	US
Telephone Number	:	940-382-0512
Fax Number	:	940-383-3105

Provider Business Practice Location Address
First Line	:	4228 I-35 N.
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3408
Country	:	US
Telephone Number	:	940-382-0512
Fax Number	:	940-383-3105

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. DON A SMITH
Credential	:	PH.D.
Telephone Number	:	940-382-0512

Provider Enumeration Date	:	11/28/2011
Last Update Date	:	11/28/2011

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Directions to “DON A. SMITH, INC ” Practice Location

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