Individual
DONALD W SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3073 PANTHERSVILLE ROAD, DECATUR, GA 30034-3828
(404) 212-5454
(404) 243-2159
Mailing address
P. O BOX 370407, DECATUR, GA 30034
(404) 212-5454
(404) 243-2159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000584
GA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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