Individual
DR. TIMOTHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
413 E 2ND ST, ROME, GA 30161-3109
(706) 291-2288
Mailing address
PO BOX 1692, WOODSTOCK, GA 30188-1366
(706) 291-2288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY002634
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY002634
GA
103TC0700X
Clinical Psychologist
PSY002634
GA
103TC1900X
Counseling Psychologist
PSY002634
GA
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY002634
GA
Other
Enumeration date
01/16/2007
Last updated
09/11/2025
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