Individual
DR. ANDREW ROY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7510 SHORELINE DR, STE A-5, STOCKTON, CA 95219
(209) 477-1717
(509) 477-1717
Mailing address
7510 SHORELINE DR, STE A-5, STOCKTON, CA 95219
(209) 477-1717
(509) 477-1717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
15081
CA
103T00000X
Psychologist
Primary
PSY15081
CA
Other
Enumeration date
08/23/2006
Last updated
09/29/2020
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