Individual
VONCEIL CORNELIUS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6707 TAYLOR CIR, MONTGOMERY, AL 36117-7706
(334) 272-3889
Mailing address
300 SOUTH TWINING STREET, BUILDING 760, MAXWELL AFB, AL 36112-6219
(334) 953-4943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051514378
BLUE CROSS
AL
05
—
890009810
—
AL
Enumeration date
10/06/2005
Last updated
04/26/2018
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