Individual
DR. JASON A. D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ABPP (RP)
Contact information
Practice address
5161 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-6737
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9055
(214) 648-6737
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PLP37459
TX
103G00000X
Clinical Neuropsychologist
PSY 22274
CA
Other
Enumeration date
11/14/2008
Last updated
09/20/2016
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