Individual
SEAN SMITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3124 S REGAL ST, SPOKANE, WA 99223-4704
(509) 464-6208
(888) 316-1928
Mailing address
PO BOX 112, SPOKANE, WA 99210-0112
(509) 464-6208
(888) 316-1928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY00003757
WA
103TC0700X
Clinical Psychologist
Primary
PY00003757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061707
—
WA
Enumeration date
01/23/2007
Last updated
08/26/2019
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