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Individual
MR. JAMES B SMITH
Active
Individual
MR. JAMES B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSEDPSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
622
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023528001
—
WV
01
—
550583609043
BLUE CROSS/BLUE SHIELD
WV
01
—
Y034223
HEALTH PLAN
WV
Enumeration date
07/28/2005
Last updated
07/13/2026
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