Individual
DR. NEIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2621 NE 134TH ST, SUITE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Mailing address
2621 NE 134TH ST, SUITE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY 60214473
WA
103TC0700X
Clinical Psychologist
Primary
PY 60214473
WA
103TH0004X
Health Psychologist
PY 60214473
WA
103TH0100X
Health Service Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
PY 60214473
WA
103TP2701X
Group Psychotherapy Psychologist
PY 60214473
WA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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