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NPI Code Detail

MEDICARE: DR. ANNE ELIZABETH SMITH PH.D.

MEDICARE:  DR. ANNE ELIZABETH 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
1103TC0700XClinical Psychologist31815TX

General Provider Information

NPI Number : 1215159660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE ELIZABETH SMITH PH.D.
Provider Business Mailing Address
First Line : 3737 COLE AVE
Second Line : APT. #110
City : DALLAS
State : TX
Zip : 75204-1591
Country : US
Telephone Number : 214-789-7279
Fax Number :
Provider Business Practice Location Address
First Line : 3737 COLE AVE
Second Line : APT. #110
City : DALLAS
State : TX
Zip : 75204-1591
Country : US
Telephone Number : 214-789-7279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 11/15/2008

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Directions to “ DR. ANNE ELIZABETH SMITH PH.D.” Practice Location

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