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NPI Code Detail

MEDICARE: DR. ERIC TECUMSEH SMELTZ PSYD PSYCHOLOGIST

MEDICARE:  DR. ERIC TECUMSEH SMELTZ  PSYD  PSYCHOLOGIST
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 PsychologistPY 1309WA

General Provider Information

NPI Number : 1972575108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC TECUMSEH SMELTZ PSYD PSYCHOLOGIST
Provider Business Mailing Address
First Line : 7805 S ASSEMBLY RD
Second Line :
City : SPOKANE
State : WA
Zip : 99224-5940
Country : US
Telephone Number : 509-981-9999
Fax Number :
Provider Business Practice Location Address
First Line : 7805 S ASSEMBLY RD
Second Line :
City : SPOKANE
State : WA
Zip : 99224-5940
Country : US
Telephone Number : 509-981-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC TECUMSEH SMELTZ PSYD PSYCHOLOGIST” Practice Location

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