Individual
DR. DONNA MARIE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
116 N 5TH ST, ELMA, WA 98541
(360) 482-6636
(360) 482-6633
Mailing address
PO BOX 465, ELMA, WA 98541
(360) 482-6636
(360) 482-6633
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY00002402
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SM5926
REGENCE BCBS
WA
Enumeration date
01/23/2006
Last updated
07/08/2007
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