Individual
CHARITY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7230 ENGLE RD STE 304, FORT WAYNE, IN 46804-2227
(260) 483-2400
(260) 960-9361
Mailing address
7230 ENGLE RD STE 304, FORT WAYNE, IN 46804-2227
(260) 483-2400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043399A
IN
Other
Enumeration date
08/28/2018
Last updated
03/10/2021
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