Individual
DR. STACEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2211 S MILL AVE, TEMPE, AZ 85282-2115
(214) 280-6446
Mailing address
900 W GROVE PKWY APT 2027, TEMPE, AZ 85283-4526
(214) 280-6446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
36876
TX
103T00000X
Psychologist
Primary
4584
AZ
Other
Enumeration date
03/08/2016
Last updated
02/07/2017
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