MEDICARE: DR. DON A SMITH PH.D.

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	2-1452	TX

General Provider Information

NPI Number	:	1215044870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DON A SMITH PH.D.

Provider Business Mailing Address
First Line	:	4228 I35N
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 I35N
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. DON A SMITH PH.D.” Practice Location

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