Individual
DR. ISAAC C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
004231
CT
103TC0700X
Clinical Psychologist
004231
CT
103TC0700X
Clinical Psychologist
Primary
048-0134862
VT
Other
Enumeration date
08/16/2022
Last updated
01/23/2024
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