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Individual

DR. PAUL STEVEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1515 N POST RD STE A, INDIANAPOLIS, IN 46219-4213
(317) 282-3088
Mailing address
1515 N POST RD STE A, INDIANAPOLIS, IN 46219-4213
(317) 282-3088
(317) 295-3555

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040450A
IN
103TB0200X
Cognitive & Behavioral Psychologist
20040450A
IN
103TC0700X
Clinical Psychologist
20040450A
IN
103TC1900X
Counseling Psychologist
20040450A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20040450A
IN
103TF0000X
Family Psychologist
20040450A
IN
103TP2701X
Group Psychotherapy Psychologist
20040450A
IN
103TS0200X
School Psychologist
20040450A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530A
IN
Enumeration date
08/05/2006
Last updated
05/31/2024
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