Samuel C Smith PHD

NPI 1720002744 - Psychologist - 103T00000X

NPI Details
NPI 1720002744
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
509 MCMILLEN ST
FORT ATKINSON WI, 53538-1263, US
Phone (920) 563-7995
Fax (920) 568-6047
Business Location
509 MCMILLEN ST
FORT ATKINSON WI, 53538-1263, US
Phone (920) 563-7995
Fax (920) 568-6047
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 528-056
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According to our database, Samuel C Smith PHD NPI is 1720002744, taxonomy code is 103T00000X and license number is 528-056, license state is located at Wisconsin. Samuel C Smith PHD physically located at 509 Mcmillen St, Fort Atkinson WI, 53538-1263. NPI Number Samuel C Smith PHD has the Individual type.

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1720002744 NPI number is provided on an as is basis without warranty of any kind. 1720002744 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel C Smith PHD are for informational purposes only.