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Individual

DR. DAVID JOEL SMOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3716 LEHIGH ST, SUITE 102, WHITEHALL, PA 18052-3437
(610) 821-9515
Mailing address
3716 LEHIGH ST, SUITE 102, WHITEHALL, PA 18052-3437
(610) 821-9515

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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