Individual
DR. FREDERICK JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1A PINE WEST PLZ, ALBANY, NY 12205-5556
(518) 862-1665
(518) 862-1668
Mailing address
429 LAKEVIEW RD, BROADALBIN, NY 12025-2268
(518) 883-5069
(518) 862-1668
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4305
NY
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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