Individual
DR. PETER NORMAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
101 LIVINGSTON LOOP STE 1, SANTA TERESA, NM 88008-9753
(505) 506-2546
(575) 201-7070
Mailing address
60 BEACH ST, SOUTH PORTLAND, ME 04106-1607
(505) 506-2546
(575) 201-7070
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us