Organization
PETER SMITH PSYD LLC
Active
Organization
PETER SMITH PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA NARANJO (AUTHORIZED AGENT)
(915) 256-9028
Entity
Organization
Contact information
Practice address
101 LIVINGSTON LOOP STE 1, SANTA TERESA, NM 88008-9753
(505) 506-2546
(575) 201-7070
Mailing address
60 BEACH ST, SOUTH PORTLAND, ME 04106-1607
(520) 271-9673
(575) 201-7070
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22639560
—
NM
Enumeration date
02/07/2023
Last updated
03/23/2023
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