Individual
DR. REX H SMYLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD.
Contact information
Practice address
1660 WILLOW CREEK RD, SUITE A, PRESCOTT, AZ 86301-1124
(928) 445-0744
(928) 445-0537
Mailing address
1660 WILLOW CREEK RD, SUITE A, PRESCOTT, AZ 86301-1124
(928) 445-0744
(928) 445-0537
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
BH-10486
AZ
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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