Individual
DR. STANLEY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2102 E 38TH ST, DAVENPORT, IA 52807-1135
(563) 359-4049
Mailing address
2102 E 38TH ST, DAVENPORT, IA 52807-1135
(563) 359-4049
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
00893
IA
103TC0700X
Clinical Psychologist
Primary
00893
IA
Other
Enumeration date
07/28/2006
Last updated
11/16/2011
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