Individual
DR. PETER NORMAN SMITH
Active
Individual
DR. PETER NORMAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1290
NM
103TP0016X
Prescribing (Medical) Psychologist
0039C
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY-RXP0053
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1290
NM PSYCHOLOGIST
NM
05
—
22639560
—
NM
01
—
4320
BCIA-C
AZ
01
—
612352100
DOL FECA
AZ
01
—
E-1463
BCIAC-EEG
AZ
01
—
PSY-RXP0053
STATE OF NEW MEXICO BOARD OF PSYCHOLOGIST EXAMINERS
NM
Enumeration date
06/15/2007
Last updated
03/07/2023
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