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Individual

DR. CHRISTOPHER ALLEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Mailing address
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2021004021
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490092718
MO
Enumeration date
04/26/2016
Last updated
08/16/2022
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