Individual
DR. ROY A SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 N. 7TH STREET, LEBANON, PA 17046-5040
(717) 272-1653
(717) 272-4166
Mailing address
200 N. 7TH STREET, LEBANON, PA 17046-5040
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004266L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001511178
—
PA
Enumeration date
07/05/2005
Last updated
12/11/2015
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