Individual
MR. JAMES B SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICENSEDPSYCHOLOGIST
Contact information
Practice address
2436 PENNSYLVANIA AVE, SUITE 2, WEIRTON, WV 26062-3641
(304) 723-3423
(304) 723-3426
Mailing address
5501 BARTLETT ST, PITTSBURGH, PA 15217-1529
(304) 723-3423
(304) 723-3426
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
622
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023528001
—
WV
01
—
550583609043
BLUE CROSS/BLUE SHIELD
WV
01
—
Y034223
HEALTH PLAN
WV
Enumeration date
07/28/2005
Last updated
07/08/2007
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