Individual
AMY H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 NYE RAOD, LYONS, NY 14489
(315) 946-5722
(315) 946-7079
Mailing address
1519 NYE RAOD, LYONS, NY 14489
(315) 946-5722
(315) 946-7079
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P81425
NY
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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