Individual
DR. LAURA LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-1116
(505) 823-1600
(505) 823-1611
Mailing address
1 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-1116
(505) 823-1600
(505) 823-1611
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
757
NM
103TC0700X
Clinical Psychologist
Primary
757
NM
Other
Enumeration date
09/20/2006
Last updated
08/31/2013
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