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Individual
EDWARD ALBERT SMITH
Active
Individual
EDWARD ALBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008377
VA
103TH0100X
Health Service Psychologist
0810008377
VA
103TP2701X
Group Psychotherapy Psychologist
0810008377
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
08/18/2026
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