Individual
DR. PAUL L SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
134 N WATER ST, LIBERTY, MO 64068-1737
(816) 781-6690
(816) 781-2897
Mailing address
134 N WATER ST, LIBERTY, MO 64068-1737
(816) 781-6690
(816) 781-2897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680001581
MEDICARE ID RAILROAD
—
Enumeration date
10/02/2006
Last updated
06/16/2010
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