Individual
DR. JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.,D.
Contact information
Practice address
162 MAIN ST, COLD SPRING, NY 10516-2815
(845) 265-4338
Mailing address
162 MAIN ST, COLD SPRING, NY 10516-2815
(845) 265-4338
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00942701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00942701
NYS LICENSE
NY
Enumeration date
02/05/2007
Last updated
07/08/2007
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