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Individual

DR. CHRISTOPHER LEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
709 W RUSK ST STE B838, ROCKWALL, TX 75087-3056
(720) 263-6413
Mailing address
1035 HIGH COTTON LN, ROCKWALL, TX 75087-2293
(720) 263-6413

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
33891
TX
103TC0700X
Clinical Psychologist
Primary
PSY.0003727
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33891
STATE OF TEXAS
TX
01
PSY.0003727
PROFESSIONAL LICENSE
CO
Enumeration date
09/12/2011
Last updated
08/07/2023
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