Individual
ALICIA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 HALE ST STE 206, CHARLESTON, WV 25301-2830
(304) 205-4129
(304) 205-4130
Mailing address
10 HALE ST STE 206, CHARLESTON, WV 25301-2830
(304) 205-4129
(304) 205-4130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1133
WV
Other
Enumeration date
02/04/2016
Last updated
04/06/2020
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