Individual
DR. DAVID JOEL SMOCK
Active
Individual
DR. DAVID JOEL SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004859L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02889500
BLUE CROSS
PA
01
—
757292
BLUE SHIELD
PA
Enumeration date
04/14/2006
Last updated
12/01/2016
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