Individual
DR. DOUG PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9088 RIDGELINE BLVD, SUITE 106, HIGHLANDS RANCH, CO 80129-2383
(303) 246-7559
(303) 831-9530
Mailing address
3638 DINOSAUR ST, CASTLE ROCK, CO 80109-3627
(303) 246-7559
(303) 831-9530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2512
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21472238
—
CO
Enumeration date
01/01/2007
Last updated
07/08/2007
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