Individual
DR. MATTHEW LOUIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1401 PEACHTREE ST NE STE 500, ATLANTA, GA 30309-3041
(678) 849-5688
Mailing address
3803 NOBLE CREEK DR NW, ATLANTA, GA 30327-1070
(678) 849-5688
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003247
GA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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