Individual
TODD S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1211 PALMYRA RD, ALBANY, GA 31701-1935
(229) 439-8686
(229) 883-4484
Mailing address
1211 PALMYRA RD, ALBANY, GA 31701-1935
(229) 439-8686
(229) 883-4484
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000861165A
—
GA
Enumeration date
12/12/2006
Last updated
07/08/2007
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