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Individual

DR. BUREN STEVE SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
701 NORTHSIDE DR, NEWTON, MS 39345
(601) 683-4377
(601) 683-4270
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0853
(601) 984-5452

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34-559
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16899760
DEPT. OF LABOR
MS
Enumeration date
02/15/2007
Last updated
07/11/2018
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